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Family PACT Updates Pharmacy Formulary for Oral Contraceptives

April 15, 2016

Effective for dates of service on or after June 1, 2016, the Family Planning, Access, Care and Treatment (Family PACT) Program pharmacy formulary for oral contraceptives is updated to align with the Medi-Cal contract drugs list (CDL).

For specific coverage criteria for oral contraceptives, providers may refer to the Drugs: Contract Drugs List Part 1 – Prescription Drugs sections in the Medi-Cal provider manual. Family PACT oral contraceptive products not included in the CDL will require a Treatment Authorization Request (TAR).

As part of this alignment, new Pharmacy Formulary and Clinic Formulary sections replace the Pharmacy and Clinic Formulary section in the Family PACT Policies, Procedures and Billing Instructions manual.

Updates to the provider manual will take place in a future Family PACT Update.