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  • Providers: Please be aware of the Medi-Cal Rx Reinstatement of Prior Authorization Requirements and Retirement of the Transition Policy for Beneficiaries 22 Years of Age and Older. Click here for more information.

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Pharmacy Services for Providers

The state Department of Health Care Services (DHCS) carves out all prescription benefits from Managed Care Plans under a program called Medi-Cal Rx. All pharmacy claims should be submitted directly to the state via its pharmacy benefit manager (PBM), Magellan Medicaid Administration, Inc.

For help with a pharmacy claim or prior authorization, please contact the Medi-Cal Rx Customer Service Center at 1.800.977.2273 or you can send an email or chat here. Agents are available 24 hours a day, seven days a week, 365 days a year.

To submit a prior authorization or an appeal for a pharmacy claim to Medi-Cal Rx, please fax 1.800.869.4325.

If the pharmacy asks for a BIN, PCN, and Group information for billing your pharmacy claims, they will be processed under: BIN 022659, PCN 6334225, Group MEDICALRX.

You may also want to visit the Medi-Cal Rx Communication page for any upcoming bulletins and news.

Important links

Additional Medi-Cal Rx Resources

Medi-Cal Rx News

Pharmacy Newsletters, DUR Educational Articles and FDA Communications