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Medi-Cal Update

Pharmacy | August 2021 | Bulletin 998

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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 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.

Effective Date Drug Summary of Changes Page(s) Updated
September 1, 2021 Asparaginase Erwinia Chrysanthemi (Recombinant)-rywn Drug added
administration added
restriction added
drugs cdl p1a (24),
drugs cdl p4 (9)
Effective Date Drug Summary of Changes Page(s) Updated
August 1, 2021 Aldesleukin restriction added drugs cdl p1a (8)
October 1, 2021 Amlodipine/Valsartan restriction removed drugs cdl p1a (16)
October 1, 2021 Amlodipine/Valsartan/Hydrochlorothiazide restriction removed drugs cdl p1a (17)

2. Drug Safety Communication: Voluntary Recall of Varenicline (Chantix) Lots Containing Nitrosamine

A new DUR Educational Article titled “Drug Safety Communication: Voluntary Recall of Varenicline (Chantix) Lots Containing Nitrosamine (PDF)” is available on the DUR: Educational Articles page of the Medi-Cal website.

3. Drug Safety Communication: FDA Requests Removal of Pregnancy Contraindication for Statins

A new DUR Educational Article titled “Drug Safety Communication: FDA Requests Removal of Pregnancy Contraindication for Statins (PDF)” is available on the DUR: Educational Articles page of the Medi-Cal website.

4. Updates to the List of Contracted Tracheostomy Supplies

Effective for dates of service on and after September 1, 2021, for additions, December 1, 2021, for deletions, the List of Contracted Tracheostomy Supplies is updated.

Contracted tracheostomy products and Universal Product Numbers (UPN) are added, updated and/or deleted. The Maximum Acquisition Cost (MAC) and Maximum Allowable Product Cost for certain products are updated. Deleted products are no longer reimbursable or guaranteed by Independence Medical.

5. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:



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