家供應商和合作夥伴藥房福利部門和視力保健計劃 Medi-Cal 簽約的血液因子專科藥局地點​​ 

Medi-Cal 血液因素簽約專業藥房地點​​ 

出血障礙的凝血因子，例如血友病，代表使用提供者合約的第一類特殊藥物。 這些產品在福利及機構守則（W & I 代碼）14105.86 (a) (2) (A) 中標明。​​  

衞生護理服務部（DHCS）將與任何專業藥房簽署合同，以滿足履行責任清單的專業藥房簽訂合同。 這些包括但不限於交貨時間要求，提供患者教育以及向 DHCS 提交季度和年度報告。​​  

根據這些條文未簽署協議成為提供者的提供者，將不再允許將專用藥物提供給 Medi-Cal、加州兒童服務或遺傳傷殘人士計劃的收件人。​​ 

合約專業提供商​​ 

合約專業提供者定義為滿足使用特種藥物的 Medi-Cal 人群獨特的專業護理需求的提供者。只有合約專科提供者才有資格提供合約血液因子。​​ 

合約專業供應商名單​​ 

The following is a list of the Contracted Specialty Providers as of August 1, 2024:​​ 

** 委託服務中心血管治療中心（HTC）的委託藥房​​ 

 城市​​  設施名稱​​  地址​​  Zip​​  電話號碼​​       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​​ 
鮑德溫公園​​  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​​ 
商業​​  阿卡里亞健康 #13 藥房​​  加菲爾德大道 3302​​  90040​​  (800) 511-5144​​  1992786495​​ 
可樂娜​​  阿克雷多健康集團​​  華德羅道 2410 號, 街 101 號​​  92880​​  (800) 622—1820​​  1952359150​​ 
Fresno​​  Valley Children’s Home Care (HTC)​​  東麥金尼大道 5085 號，129 室​​  93727​​  (559) 353-7125​​  1275612673​​ 
格倫代爾​​  英普卡雷克斯​​  聖費爾南多路 6108​​  91201​​  (877) 469-6033​​  1528462835​​ 
海沃德​​  新月醫療保健​​  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​​ 
長灘​​  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​​ 
奧克斯納德​​  Hueneme Family Pharmacy​​  401 N. Lombard St, Ste A​​  93030​​  (805) 488-8200​​  1023296449​​ 
Palm Desert​​  River’s Edge Pharmacy​​  庫克街 36919 號 #102​​  92211​​  (760) 340-3248 外部 1239​​  1689823486​​ 
雷德蘭茲​​  簡歷 ／ 護理公司專科藥房​​  布林莫爾道 1127 號, 聖 A​​  92374​​  (909) 796-7171​​  1013998921​​ 
Riverside​​  Beeman’s Redlands Pharmacy​​  石板道 11705 號街 250 號​​  92505​​  (800) 291-1089​​  1659550176​​ 
Sacramento​​  加州大學醫學中心戴維斯家庭因素計劃（HTC）​​ 

** 全醫療專業藥房​​ 

** 比曼斯雷德蘭茲藥房​​ 

 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​​  新月醫療保健​​  11980 Telegraph Rd, Ste 102​​  90670​​  (877) 872-4844​​  1932192523​​ 
Santa Fe Springs​​  新月醫療保健​​  11980 Telegraph Rd, Ste 100​​  90670​​  (877) 872-4844​​  1225204050​​ 
塔札納​​  MVP Pharmacy​​  5620 Wilbur Ave, Ste 100​​  91356​​  (747) 265-6781​​  1366989709​​ 
Temecula​​  NuFACTOR, Inc.​​  44900 Winchester Rd​​  92590​​  (800) 323-6832​​  1861599540​​ 
托蘭斯​​  Premier Infusion and HealthCare Services, Inc.​​  19500 Normandie Ave​​  90502​​  (866) 365-2525​​  1417904574​​ 
West Hollywood​​  切內加藥房​​  聖莫尼卡大道 7360 號街 101 號​​  90046​​  (310) 360-9969​​  1134280456​​