Plan Partner Drug Coverage
If you receive health coverage through an L.A. Care Plan Partner – Anthem Blue Cross, Care 1st Health Plan, or Kaiser Permanente – then you must use pharmacies in that Plan Partner’s network. The list of covered drugs may also be different for each Plan Partner. Find a pharmacy and a list of covered drugs by calling your health plan provider.
L.A. Care Mail Order Pharmacy
L.A. Care provides members with mail order services through our contracted mail-order pharmacy. Members can get a 90-day supply of maintenance medications through the mail-order pharmacy service or at a participating retail pharmacy location. Maintenance medications are drugs that may need to be taken for a long-term health condition, such as high blood pressure or diabetes. To set up a mail-order account or to order refill(s) for an unexpired prescription, access WellDyneRx Mail Order Pharmacy.
If the medication(s) has no refill(s) remaining, prescribers will need to provide a new prescription. This is a free service to members.
Updates to the Formulary – New drug additions and deletions
L.A. Care continuously reviews new drugs and drugs currently on our formulary to ensure you have safe and effective medication options to keep you healthy.
You can view the latest changes to the formulary in the blue box at the bottom of the page.
Call Member Services at 1-888-839-9909 for the following:
- For questions about your pharmacy benefits
- For questions about Plan Partner Information
- To request a copy of the formulary or to ask if a specific drug or drugs are on the list
- To get a list of network pharmacies near you
- To get a mail-order form mailed to you
- For help with the Prior Authorization Request process
Restrictions to Coverage
Restrictions to coverage apply to certain prescription drugs. The Pharmacy and Therapeutics Committee develops restrictions to help our members use drugs in the most safe and effective ways. Some restrictions impact overall drug cost, which keeps our members’ drug coverage more affordable. Other restrictions are designed to promote safe use of particular agents, such as opioids.