Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy help desk

Medi-Cal Rx Customer Service Center (pharmacy benefit — claims, eligibility, PA status)

Official page read

Phone800-977-2273Fax

800-869-4325

Medi-Cal Rx prior authorization (PA) requests and PA appeals

Published hours

24 hours a day, 7 days a week, 365 days a year (excluding approved holidays); finance CSRs Monday–Friday 8 a.m.–5 p.m. PT

Product, plan and location

medicaid
California

Mailing address

Medi-Cal Rx Customer Service Center ATTN: Provider PA Requests or Provider PA Appeals P.O. Box 730 Rancho Cordova, CA 95741-0730

Mailed Medi-Cal Rx PA requests, PA appeals or accounts receivable forms (identify the department on the ATTN line).

Medi-Cal Rx (pharmacy benefit administered for DHCS by Prime Therapeutics): member and provider inquiries, claims processing, drug coverage, member eligibility, PA request status, portal access. TTY 711. Not the Medi-Cal medical Telephone Service Center (1-800-541-5555).

View source ↗ · Source checked 2026-10-25

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Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

PBM name and the pharmacy identifiers on the card
Drug, formulation and prescription information
Prescriber details and previous review reference

Questions to resolve

Is this processed under the medical or pharmacy benefit?
What is the correct review and submission channel?
Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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