After January 1, 2022, pharmacy services are handled by Medi-Cal Rx (MCRx). Participating providers use a list of preferred medications when they write prescriptions. This preferred list is the Contract Drug List (CDL).
Although a medication is available on the CDL, it does not guarantee the physician will prescribe it. There are some limitations that may apply to the listed medications, such as the reason your doctor prescribed the medication, your age or other medical conditions you may have. Call MCRx Customer Service Center at 1.800.977.2273 if you have any questions regarding the CDL, participating pharmacy or any other pharmacy related question. You may also find answers to questions through the Beneficiary Portal if you created an account. This can be found at https://medi-calrx.dhcs.ca.gov/home/
For more information regarding MCRx, please visit https://medi-calrx.dhcs.ca.gov/home/
Medi-Cal RX carve out information**
**DHCS announced the implementation date for Medi-Cal Rx will be January 1, 2022.
Medi-Cal RX Education Webinar:
Medi-Cal RX Educational Webinar Slide Deck
Medi-Cal RX Educational Webinar
- Medi-Cal Rx Office Hour – Reinstatement of Reject Codes 80 and 88 - June 2022
- Reminder: Fiscal Year Two-Week Fee-for-Service Hold for Specific Provider Payments - June 2022
- Medi-Cal Rx Telecommunications Provider and Biller Application/Agreement Form – Supplemental Form - June 2022
- Medi-Cal Rx Reinstatement Plan Phase I, Wave I: Frequently Asked Questions - June 2022
- Appendix A: Reject Code 88 DUR: Service Codes Scenarios - June 2022
- NCPDP Reject Code 88 DUR Reference Guide - June 2022
- NCPDP Reject Code 80 Reference Guide - June 2022
- 30 Day Countdown - Reinstatement of Reject Codes 80 and 88 - June 2022
- COB - Billing Medicare Part B and D Claims - June 2022
- MCRx COB Reminder - June 2022
- Age Restrictions on Psychotropics Updated - June 2022
- Submitting a Claim Best Practices - May 2022
- Medi-Cal RX Survey - April 2022
- Prescriber Training Checklist - April 2022Pharmacy Training Checklist - April 2022
- MCRx Compound Claims Processing Billing Tips - April 2022
- MCRx Update - April 2022
- DAW 1 Coding and Reimbursement Rates - March 2022
- MCRx Weekly Wrap Up - March 2022
- Temporary Prior Auth Lift - Psychostimulants and Antidepressants - March 2022
- Maximum Allowable Ingredient Cost (MAIC) 30-Day Notice - March 2022
- Required Documentation for Claim and Prior Auth Support - February 2022
- Remdesivir (Veklury) for Outpatient Treatment of COVID-19 - February 2022
- Drug Look Up CDL Tips - February 2022
- MCRx Troubleshooting and Support - February 2022
- Clarification of Temporary Prior Auth Change - February 2022
- MCRx Updates - Week of February 22, 2022
- MCRx Updates - February 2022
- Revised Prior Authorization Policy for Pharmacy Providers - February 2022
- Revised Emergency Fill Quantity and Frequency Policy - February 2022
- Revised Prior Authorization Policy for Prescribers - February 2022
- Daily Office Hour Sessions - January 2022
- Claim Submission Bulletin - January 2022
- MCRx Check Write - January 2022
- Prior Auth 75 - January 2022
- Medi-Cal RX Interim Prior Auth Approval Notice - January 2022
- Reject Code Suspension Notice - January 2022
- Adding or Removing Other Health Coverage for Medi-Cal Beneficiaries - January 2022
- Customer Service Center (CSC) Main Menu Prompt Options Flyer - January 2022
- Drug Utilization Review (DUR) Reject Codes 88 & 76
- Monthly Bulletin - January 2022
- Countdown to Go-Live - Are You Enrolled as a Participating Medi-Cal RX Provider - December 2021
- Countdown to Go-Live Have You Reviewed the Medi-Cal RX Pharmacy Transition Policy - December 2021
- Medi-Cal RX Electric Claims Agreement - December 2021
- Countdown to Go-Live - Are You Aware of the Cutoff Dates - December 2021
- Medi-Cal RX Web Claims Submission User Guide - December 2021
- Cover My Meds and RX Registration - December 2021
- CMS System Bulletin - December 2021
- Medi-Cal RX Monthly Bulletin - December 2021
- UAC Registration and Sign-In Troubleshooting November 2021
- Registering Multiple NPI's in UAC November 2021
- 45 Day Pharmacy Provider Notice November 2021
- User Administration Console (UAC) Registration - Alternate Address November 2021
- Medi-Cal RX Provider Training Details November 2021
- Introducin the Medi-Cal RX Education & Outreach Team November 2021
- Medi-Cal RX Education Webinar - November 2021
- How to Register for the Medi-Cal RX User Administration Console November 2021
- Join the Medi-Cal RX Provider Portal Today November 2021
- Pharmacy Training Checklist
- Prescriber Training Checklist
- Medi-Cal RX UAC Helpful Information - November 2021
- Medi-Cal RX Are You Ready Flyer - November 2021
- Contract Drug List Flyer - November 2021
- Medi-Cal RX Provider Bulletin - October 2021
- Medi-Cal Rx Monthly Bulletin - August 1, 2021
- Monthly Bulletin for July 2021
- Medi-Cal Rx Status Update June 2021
- Monthly Bulletin for June 2021
- Medi-Cal RX UAC Application Role May 2021
- UAC Registration Troubleshooting May 2021
- Medi-Cal Pharmacy Professional Dispensing Fee Provider Self-Attestation
- Medi-Cal Rx Transition and Resources Training April 2021
- Provider Registration and FAQs
- Medi-Cal Rx Monthly Bulletin for April 2021
- Medi-Cal Rx Portal Registration
- Pharmacy Provider Self-Attestation Period Begins April 2021
- Medi-Cal RX Pharmacy Provider and Prescriber Readiness Survey
- Pharmacy Service Representative (PSR) Prescriber Phone Campaign
- Medi-Cal RX Training Information
- Important Update on Medi-Cal RX - February 2021
- Provider Registration and Training FAQ's - February 2021
- Transition Pharmacy Cutoff Instructions - February 2021
- Provider Testing Notification - January 2021
- Medi-Cal RX Pharmacy Providers EFT Set Up and Opt Out - January 2021
- Urgent Provider Testing Notification Approved - January 2021
- Medi-Cal RX Options for PA Submission Guide - January 2021
- Changes to Pharmacy Provider Self-Attestation Process Coming in 2021
- Medi-Cal RX 90-Day Pharmacy Notice
- MCP Prescriber Registration and Training Message
- Registration Quick Start Job Aid
- Medi-Cal RX Training Information and Schedule
- Medi-Cal RX Support Services and Key Payer Sheet
- Medi-Cal RX NCPDP Standard Payer Sheet - Updated 10.22.2020
- Medi-Cal RX Prescribers Communication
- How to Access the Contract Drug List (CDL) from DHCS Medi-Cal Homepage
- Provider Bulletin
- Provider Bulletin (11.09.2020)
- Main DHCS Medi-Cal Rx page
- DHCS Rx Transition education and training site (Includes how to register and training videos)
- DHCS site- Pharmacy Provider Manual with the contract drug list (like a formulary--scroll down to see “Contract Drug List”)
- DHCS Rx Transition FAQ