Medi-Cal Rx

Starting January 1, 2022, your Medi-Cal pharmacy benefits will be provided through Medi-Cal Rx. This means that Blue Shield Promise will no longer provide your Medi-Cal pharmacy benefits.

Starting January 1, 2022, you will need to show your Medi-Cal BIC when you go to the pharmacy. The pharmacy may use your BIC to look up your information and give you your medications.

If you did not receive your BIC, or if it is lost or stolen, you may ask for a replacement from:

Los Angeles County Department of Public Social Services Customer Service Center: (866) 613-3777

San Diego County Department of Health & Human Services Agency Customer Service Center: (866) 262-9881

For complaints, appeals, and grievances about your pharmacy benefits, please call:

On or before December 31, 2021:

• Blue Shield Promise. Our phone number is on your member ID card.

On or after January 1, 2022:

• Medi-Cal Rx Customer Service Center at (800) 977-2273, 24 hours a day, seven days a week, or 711 for TTY, Monday through Friday, 8 a.m. to 5 p.m.

Yes, you can. Do NOT include personal information in your first email. Tell them you are writing about Medi-Cal Rx. DHCS staff will reply from a secure email address. If they need your personal information, they will ask for it then.

On or before December 31, 2021

• Email general questions to DHCS at RxCarveOut@dhcs.ca.gov.

On or after January 1, 2022

• Email questions, complaints, appeals, and grievances to DHCS at RxCarveOut@dhcs.ca.gov.

Most people will not need to change medications. For some medications, your doctor may need to get approval to refill prescriptions. He or she may talk to you about changing to a medication that does not require prior approval from Medi-Cal Rx.

Medi-Cal Rx will honor your Blue Shield Promise approval for 180 days after January 1, 2022. This will allow you time to talk to your doctor. He or she may talk to you about requesting a new approval from Medi-Cal Rx. Or, he or she may prescribe another medication that may be right for you and does not require approval.

Most people will not have to change their glucometer or glucometer supplies. Medi-Cal Rx will cover your glucometer and glucometer supplies 180 days after January 1, 2022. After that, you will need to switch to a covered glucometer and supplies.

Yes. DHCS and Blue Shield Promise have informed providers and pharmacies about this change.

Most pharmacies are included in the Medi-Cal Rx network.

On or before December 31, 2021:

• You can call the Medi-Cal Member Help Line at (800) 541-5555 [TTY: (800) 430-7077] to ask if your pharmacy accepts Medi-Cal Rx.

On or after January 1, 2022:

• You can use the Medi-Cal Rx Pharmacy Locator at Medi-CalRx.dhcs.ca.gov.
• Please call Medi-Cal Rx Customer Service Center (CSC) at (800) 977-2273, 24 hours a day, seven days a week. 711 for TTY, Monday through Friday, 8 a.m. to 5 p.m.