Pharmacy Benefits Provider Information
Find information about Medi-Cal fee-for-service outpatient pharmacy services.
Beneficiaries enrolled in Medi-Cal Health Plans must receive Medi-Cal pharmacy benefits from plan providers. Medi-Cal Health Plans are required to provide or arrange for medically necessary outpatient pharmacy services. Each Medi-Cal Health Plan is unique in its billing and service procedures. Providers must contact the individual Medi-Cal Health Plan for information about outpatient pharmacy services.
Outpatient Pharmacy Info
- AB 97 Ten Percent Provider Payments Reductions
- Affordable Care Act FUL Reimbursement List
- Foster Care Quality Improvement Project
- Medi-Cal Drug Use Review (DUR) Board
- Medi-Cal Provider Enrollment Division
- Medi-Cal Subscription Service
- MTM Services
- New Changes to Medi-Cal Rx for Pediatric Integration
- Pediatric Integration Questions and Answers
- SB 393 Prescription Discount Program Overview (Select SB393 in the left column)
- Prescription Drug Discount Program for Medicare Recipients (SB 393) Flyer
- SB 393 Price Calculator
- Specialty Pharmacy Providers
Contact Us
- Access the Provider Helpline webpage
- Access the Provider Medi-CalRx web portal
- For questions or need help please call (800) 977-2273.