State Compensation Insurance Fund (California workers compensation)

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

Pharmacy networks (myMatrix, Express Scripts) - customer support

Official page read

Phone877-804-4900 ext. 2Published hours

Not published in this record

Product, plan and location

workers comp
California

Mailing address

Not researched for this route

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Extension 2

Menus can change. No live call verification is claimed.

State Fund's published customer support for its pharmacy networks (myMatrix, Express Scripts Co.). A second number, (813) 247-3391, is listed on the same page. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

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.

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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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