Medi-Cal Contracted Specialty Pharmacy Locations for Blood Factors
Coagulation factors for bleeding disorders, such as hemophilia, represent the first class of specialty drugs to utilize provider contracts. These products are identified in Welfare and Institutions Code (W&I Code) 14105.86(a)(2)(A).
The Department of Health Care Services (DHCS) will contract with any specialty pharmacy that will sign a contract to meet a list of performance obligations. These include, but are not limited to, delivery time requirements, providing patient education and submitting quarterly and yearly reports to DHCS.
A provider who does not sign an agreement to become a provider under these provisions will no longer be allowed to provide the specialized drug to Medi-Cal, California Children’s Services or Genetically Handicapped Persons Program recipients.
Contracted Specialty Provider
A Contracted Specialty Provider is defined as a provider that meets the unique specialized care needs of the Medi-Cal population who utilize specialty drugs. Only Contracted Specialty Providers are eligible to provide contract blood factors.
Contracted Specialty Provider List
The following is a list of the Contracted Specialty Providers as of August 1, 2024:
** Delegated pharmacy for the contracted Hemophiliac Treatment Center (HTC)
| City | Name of Facility | Address | Zip | Phone Number | NPI |
|---|---|---|---|---|---|
| Aliso Viejo | Guided Alliance Pharmacy, Inc. | 27111 Aliso Creek Rd, Ste 185A | 92656 | (949) 496-4106 or (877) 846-6232 | 1831381904 |
| Arcadia | Fidelis Specialty Pharmacy | 1002 South Baldwin Ave | 91007 | (626) 447-2138 | 1316135569 |
| Baldwin Park | Premier Pharmacy Service | 410 Cloverleaf Dr | 91706 | (626) 626-9400 | 1053486795 |
| Burbank | Specialty Care Rx | 212 W. Magnolia Blvd | 91502 | (818) 848-8112 | 1639358047 |
| Burbank | Oso Home Care Pharmacy | 2811 N. Lima Street | 91504 | (949) 660-7126 | 1467726638 |
| Canoga Park | Biomatrix Specialty Pharmacy | 7959 Deering Ave | 91304 | (800) 404-1963 | 1982698189 |
| Carpinteria | Santa Barbara Specialty Pharmacy | 4690 Carpinteria Ave, Ste B | 93013 | (805) 770-2061 | 1609209352 |
| Carlsbad | Optum Infusion Services 500, LLC | 1819 Aston Ave, Ste 104 | 92008 | (866) 827-0972 | 1346593118 |
| Commerce | AcariaHealth #13 Pharmacy | 3302 Garfield Ave | 90040 | (800) 511-5144 | 1992786495 |
| Corona | Accredo Health Group | 2410 Wardlow Rd, Ste 101 | 92880 | (800) 622-1820 | 1952359150 |
| Fresno | Valley Children’s Home Care (HTC) | 5085 E. McKinney Ave, Rm 129 | 93727 | (559) 353-7125 | 1275612673 |
| Glendale | InfuCare Rx | 6108 San Fernando Rd | 91201 | (877) 469-6033 | 1528462835 |
| Hayward | Crescent Healthcare | 25901 Industrial Blvd, Bldg E | 94545 | (877) 872-4844 | 1922074749 |
| Inglewood | Soleo Health | 721 S. Glasgow Ave, Ste C | 90301 | (310) 833-5508 | 1013134113 |
| Irvine | Oso Home Care | 17175 Gillette Ave | 92614 | (949) 660-7126 | 1215966205 |
| Long Beach | Infusion Care Pharmacy North | 455 E. Columbia St, Ste 10 | 90806 | (562) 933-7702 | 1053653782 |
| Los Angeles | Children’s Hospital Los Angeles (HTC)
|
4650 W. Sunset Blvd 4650 Sunset Blvd, Los Angeles 18009 Sky Park Cir, Ste F, Irvine |
90027 90027 92614 |
(877) 916-1796 (323) 660-2450 (949) 223-9830 |
1124073366 1659552636 1356746267 |
| Los Angeles | Orthopaedic Hospital Outpatient Pharmacy (HTC) | 403 W. Adams Blvd | 90007 | (213) 742-1128 | 1386627966 |
| Menlo Park | LPCH Children’s Home Pharmacy (HTC) | 4600 Bohannon Dr, Ste 105 | 94025 | (650) 497-8316 | 1407864374 |
| Orange | AmeriPharma | 132 S. Anita Drive, #210 | 92868 | (877) 778-0318 | 1336170679 |
| Orange | Center for Inherited Blood Disorders Pharmacy (HTC) | 701 S Parker St, Ste 1400 | 92868 | (949) 748-7615 | 1598067613 |
| Orange | Specialty Care Rx | 2140 West Chapman Ave, #110 | 92868 | (714) 941-6177 | 1104191592 |
| Oxnard | Hueneme Family Pharmacy | 401 N. Lombard St, Ste A | 93030 | (805) 488-8200 | 1023296449 |
| Palm Desert | River’s Edge Pharmacy | 36919 Cook Street #102 | 92211 | (760) 340-3248 ext 1239 | 1689823486 |
| Redlands | CVS/Caremark Specialty Pharmacy | 1127 Bryn Mawr Ave, Ste A | 92374 | (909) 796-7171 | 1013998921 |
| Riverside | Beeman’s Redlands Pharmacy | 11705 Slate Ave, Ste 250 | 92505 | (800) 291-1089 | 1659550176 |
| Sacramento | UCD Med Center Davis at Home Factor Program (HTC)
|
2000 Stockton Blvd, Ste 2002 1403 Ave, Ste 150, Santa Ana 11705 Slate Ave, Ste 250, Riverside |
95817 92705 92505 |
(888) 437-5185 (714) 760-4615 (909) 792-2300 |
1578639308 1164053708 1659550176 |
| Sacramento | AcariaHealth #14 Pharmacy | 4151 E. Commerce Way #1041 | 95834 | (800) 511-5144 | 1699096842 |
| San Diego | Cure Stat Rx | 6725 Mesa Ridge Rd, Ste 230 | 92121 | (858) 275-2144 | 1639688732 |
| San Diego | Profusion Specialty Pharmacy | 7250 Engineer Rd, Ste D | 92111 | (619) 537-7900 | 1548713050 |
| San Diego | Rady Children’s HomeCare Pharmacy (HTC) | 8291 Aero Place, Ste 130 | 92123 | (858) 966-3535 | 1699853713 |
| San Diego | UCSD Home Infusion Pharmacy (HTC) | 9610 Ridgehaven Ct, Ste A | 92123 | (619) 543-5231 | 1730273582 |
| San Francisco | UCSF Regional Adult Hemophilia Treatment Center (HTC)
|
400 Parnassus Ave, 4th Floor 18009 Sky Park Cir, Ste F, Irvine 1127 Bryn Mawr Ave, Ste A, Redlands |
94143 92614 92374 |
(415) 353-2421 (949) 223-9830 (909) 7967171 |
1285818112 1356746267 1013998921 |
| San Francisco | UCSF Regional Pediatric Hemophilia Treatment Center (HTC)
|
Ron Conway Family Gateway Med Bldg 1825 Fourth St, 6th Floor 18009 Sky Park Cir, Ste F, Irvine 1127 Bryn Mawr Ave, Ste A, Redlands |
94158 92614 92374 |
(415) 476-4901 (949) 223-9830 (909) 7967171 |
1285818112 1356746267 1013998921 |
| Santa Barbara | Santa Barbara Specialty Pharmacy | 4690 Carpinteria Ave, Ste B | 93013 | (805) 770-2061 or (844) 726-8279 | 1609209352 |
| Santa Fe Springs | Crescent Healthcare | 11980 Telegraph Rd, Ste 102 | 90670 | (877) 872-4844 | 1932192523 |
| Santa Fe Springs | Crescent Healthcare | 11980 Telegraph Rd, Ste 100 | 90670 | (877) 872-4844 | 1225204050 |
| Tarzana | MVP Pharmacy | 5620 Wilbur Ave, Ste 100 | 91356 | (747) 265-6781 | 1366989709 |
| Temecula | NuFACTOR, Inc. | 44900 Winchester Rd | 92590 | (800) 323-6832 | 1861599540 |
| Torrance | Premier Infusion and HealthCare Services, Inc. | 19500 Normandie Ave | 90502 | (866) 365-2525 | 1417904574 |
| West Hollywood | Cienega Pharmacy | 7360 Santa Monica Blvd, Ste 101 | 90046 | (310) 360-9969 | 1134280456 |