Medi-Cal Update

Pharmacy | August 2017 | Bulletin 902

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1. Medi-Cal List of Contract Drugs

The following provider manual sections have been updated: Drugs: Contract Drugs List Part 1 – Prescription 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 Drugs
Effective Date Drug Summary of Changes Page(s) Updated
March 27, 2017 AVELUMAB Drug added, administration added, strength added, restriction added drugs cdl p1a (18)
July 3, 2017 RITUXIMAB AND HYALURONIDASE HUMAN Drug added, administration added, strength added, restriction added drugs cdl p1c (44)
September 1, 2017 GLYCOPYRROLATE AND FORMOTEROL FUMARATE Drug added, administration added, strength added drugs cdl p1b (29)
October 1, 2017 OMBITASVIR/
PARITAPREVIR/
RITONAVIR/
DASABUVIR
Drug added, administration added, restriction added, strength added, note added drugs cdl p1c (14)

Changed Drugs
Effective Date Drug Summary of Changes Page(s) Updated
July 27, 2017 METHOTREXATE Administration added, strength added, restriction added drugs cdl p1b (67)
September 1, 2017 CEFIXIME Administration added drugs cdl p1a (33)
September 1, 2017 IVERMECTIN Restriction added drugs cdl p1b (47)
January 1, 2018 TAMOXIFEN CITRATE Restriction added drugs cdl p1d (9)
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2. Clinical Review: Drug-Induced QT Interval Prolongation

A new DUR Educational Article titled “Clinical Review: Drug-Induced QT Interval Prolongation” (PDF format) is available on the DUR: Educational Articles page of the Medi-Cal website.

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3. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

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