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Pharmacist Services Are a Medi-Cal Benefit

April 25, 2019

Effective for dates of service on or after April 1, 2019, pharmacist services are a covered Medi-Cal benefit.

Assembly Bill 1114, Chapter 602, Statutes of 2016 added Welfare and Institutions Code (W&I Code), Section 14132.968, requiring the Department of Health Care Services to establish reimbursement and policy for services provided by a pharmacist to a Medi-Cal recipient. These services include the following:

  • Furnishing naloxone
  • Furnishing self-administered contraception
  • Initiating and administering immunizations
  • Furnishing nicotine replacement therapy
  • Furnishing travel medications

Billing policy regarding this new benefit may be found in the Pharmacist Services section of the Pharmacy manual.