Lumaktaw sa Pangunahing Nilalaman​​ 

Mga Lokasyon ng Medi-Cal Contracted Specialty Pharmacy para sa Blood Factors​​ 

Ang mga kadahilanan ng coagulation para sa mga karamdaman sa pagdurugo, tulad ng hemophilia, ay kumakatawan sa unang klase ng mga espesyal na gamot na gumamit ng mga kontrata ng provider. Ang mga produktong ito ay kinilala sa Welfare and Institutions Code (W&I Code) 14105.86(a)(2)(A).​​  

Ang Department of Health Care Services (DHCS) ay makikipagkontrata sa anumang espesyalidad na botika na pipirma ng kontrata para matugunan ang isang listahan ng mga obligasyon sa pagganap. Kabilang dito ang, ngunit hindi limitado sa, mga kinakailangan sa oras ng paghahatid, pagbibigay ng edukasyon sa pasyente at pagsusumite ng mga quarterly at taunang ulat sa DHCS.​​  

Ang isang provider na hindi pumirma sa isang kasunduan upang maging isang provider sa ilalim ng mga probisyong ito ay hindi na papayagang magbigay ng espesyal na gamot sa mga tatanggap ng Medi-Cal, California Children's Services o Genetically Handicapped Persons Program.​​ 

Kontrata na Specialty Provider​​ 

Ang Contracted Specialty Provider ay tinukoy bilang isang provider na nakakatugon sa mga natatanging espesyal na pangangailangan sa pangangalaga ng populasyon ng Medi-Cal na gumagamit ng mga espesyal na gamot. Tanging ang mga Contracted Specialty Provider ang karapat-dapat na magbigay ng contract blood factors.​​ 

Listahan ng Contracted Specialty Provider​​ 

Ang sumusunod ay isang listahan ng Mga Contracted Specialty Provider noong Agosto 1, 2024:
​​ 

** Nakatalagang botika para sa kinontratang Hemophiliac Treatment Center (HTC)​​ 

 lungsod​​ 

Pangalan ng Pasilidad​​ 

Address​​ 

Zip​​ 

Numero ng Telepono​​ 

     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 Botika​​ 
3302 Garfield Ave​​ 
90040​​ 
(800) 511-5144​​ 
1992786495​​ 

Corona​​ 

Accredo Health Group​​ 

2410 Wardlow Rd, Ste 101​​ 

92880​​ 

(800) 622-1820​​ 

1952359150​​ 

Fresno​​ 

Pangangalaga sa Bahay ng mga Bata sa Valley (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)​​ 

**Children's Hospital LA Specialty Pharmacy​​ 

**Red Chip of Nevada​​  

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​​ 

Botika sa River's Edge​​ 

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​​ 
Botika ng Redlands ng Beeman​​ 
11705 Slate Ave, Ste 250​​ 
92505​​ 
(800) 291-1089​​ 
1659550176​​ 

Sacramento​​ 

UCD Med Center Davis sa Home Factor Program (HTC)​​ 

**AllCare Specialty Pharmacy​​ 

** Botika ng Beemans Redlands​​ 

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)​​ 

**Red Chip of Nevada​​ 

**Caremark dba CVS/Specialty​​ 

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)​​ 

**Red Chip of Nevada​​ 

**Caremark dba CVS/Specialty​​ 

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​​ 
Botika ng Cienega​​ 
7360 Santa Monica Blvd, Ste 101​​ 
90046​​ (310) 360-9969​​ 
1134280456​​ 

Huling binagong petsa: 8/27/2024 10:48 AM​​