Family PACT Update

January 2019 | Bulletin 136

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1. Medi-Cal List of Contract Drugs

The following provider manual section(s) have been updated: Drugs: Contract Drugs List Part 1 – Prescription Drugs, Drugs: Contract Drugs List Part 2 – Over-the-Counter Drugs and Drugs: Contract Drugs List Part 4 – Therapeutic Classifications.

A summary of drugs that have been added or changed is shown below. For additional information, click on the link to the manual section and scroll to the page indicated or use the find feature to search for the particular drug.

Added Drug(s)
Effective Date Drug Summary of Changes Page(s) Updated
October 1, 2018 CEMIPLIMAB-RWLC Drug added, administration added, restrictions added drugs cdl p1a (36)
January 1, 2019 NETARSUDIL Drug added, administration added drugs cdl p1c (4)

Changed Drug(s)
Effective Date Drug Summary of Changes Page(s) Updated
August 1, 2018 INFLUENZA VIRUS VACCINE Administration added drugs cdl p1b (41)
January 1, 2019 BEXAROTENE Restriction added drugs cdl p1a (22)
January 1, 2019 LEVONORGESTREL Restriction removed drugs cdl p2 (10)
April 1, 2019 CERITINIB Restriction changed drugs cdl p1a (36)
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