L.A. Care uses a list of covered drugs called a formulary. Drugs on the list have been chosen for their safety and effectiveness. Your doctor should order drugs from this approved list.
Each plan has its own formulary. You can check if your medication is covered by browsing the formulary document for your health plan listed here. L.A. Care can also provide a copy of the formulary in your preferred language, large print, audio, or alternate format.
L.A. Care Medi-Cal and Plan Partner Drug Coverage
Starting January 1, 2022 Medi-Cal Pharmacy Benefits will be administered through the fee-for-service delivery system Medi-Cal Rx. If you receive Medi-Cal health coverage through L.A. Care or a Plan Partner – Anthem Blue Cross, Blue Shield of California Promise Health Plan, or Kaiser Permanente – Please visit the DHCS Medi-Cal Rx website for more information.
Restrictions to Coverage
Restrictions to coverage apply to certain prescription drugs. The Pharmacy and Therapeutics Committee develops restrictions to help our members use drugs in the most safe and effective ways. Some restrictions impact overall drug cost, which keeps our members’ drug coverage more affordable. Other restrictions are designed to promote safe use of particular agents, such as opioids.
Formulary Updates – New drug additions and deletions
L.A. Care formularies are continually updated to provide safe, appropriate, and cost-effective drug therapies. These changes are listed in the documents below.