We call the pharmacies listed in our Pharmacy Directory our "network pharmacies"
because we have made arrangements with them to provide prescription drugs to Plan
members. Central Health Medicare Plan has over 2,000 pharmacies in our network, and
our network meets or exceeds Medicare requirements for access. A network pharmacy
is a pharmacy where beneficiaries obtain prescription drug benefits provided by
Central Health Medicare Plan. In most cases, your prescriptions are covered under Central Health Medicare Plan only if they are
filled at a network pharmacy or through our mail order pharmacy service. Once you
go to one, you are not required to continue going to the same pharmacy to fill your
prescription, you can go to any of our network pharmacies. We will fill prescriptions
at non-network pharmacies under certain circumstances as described later.
Can the list of network pharmacies change?
Yes, Central Health Medicare Plan may add or remove pharmacies from our Pharmacy Directory. To get current information about Central Health Medicare Plan network pharmacies in your area, please review the Pharmacy Directory or call our Member Service Department.
How do I find a Central Health Medicare Plan network pharmacy in my area?
Pharmacies are organized by type, county, city, and name in the Pharmacy Directory. First, locate the type of pharmacy you are seeking under the appropriate chapter. Within the selected chapter, locate the county and city in which you live or the city nearest to where you live. Pharmacies are listed by name in alphabetical order. The names of all the cities in our service area are listed again in alphabetical order under the Index.
Prescription Claim Drug Form
Pharmacy Directory Information
This pharmacy directory was updated on 04/2021. For more recent information or other questions, please contact Central Health Medicare Plan Member Services at 1-866-314-2427 or, for TTY users, 711, 8 A.M. to 8 P.M. (PST), or visit www.centralhealthplan.com.
Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.centralhealthplan.com. You may also call Member Services for updated provider information.
This booklet provides a list of our plan’s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Central Health Medicare Plan’s formulary.
When this pharmacy directory refers to “we,” “us”, or “our,” it means Central Health Plan of California. When it refers to “plan” or “our plan,” it means Central Health Medicare Plan.
We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Central Health Medicare Plan only if they are filled at a network pharmacy [or through our mail order pharmacy service]. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.
All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 04/27/2021. For the most current list, please contact us. Our contact information appears on the front and back cover pages.
You can get prescription drugs shipped to your home through our network mail order delivery program which is called “MedImpact Direct.” For more information, please contact us or see the mail order section of this pharmacy directory.
If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact Central Health Medicare Plan.
Retail Pharmacies, including Chain Pharmacies
To contact your retail pharmacy via TTY Service, you may use the TRS Relay number 711.
Mail Order Pharmacies
You can get prescription drugs shipped to your home through our network mail order delivery program which is called “MedImpact Direct.”
Typically, you should expect to receive your prescription drugs within 10 calendar days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at 1-866-314-2427. For TTY users, you may use the TRS Relay number 711, or dial 711 8:00 A.M. to 8:00 P.M. (PT), 7 days a week, or visit www.centralhealthplan.com.
Home Infusion Pharmacies
To contact your home infusion pharmacy via TTY, you may use the TRS Relay number 711.
Central Health Medicare Plan will cover home infusion therapy if:
- Your prescription drug is on Central Health Medicare Plan's formulary or you have a formulary exception
- Central Health Medicare Plan has approved your prescription drug for home infusion therapy; and
- Your prescription is written by an authorized prescriber
For more information, call our Member Services Department at 1-866-314-2427, 8 a.m. to 8 p.m. (PT), seven days a week. (TTY users should call 711).
Long-Term Care Pharmacies
Residents of a long-term care facility may access their prescription drugs covered under Central Health Medicare Plan through the facility’s long-term care pharmacy or another network long-term care pharmacy. For more information, call our Member Services Department at 1-866-314-2427, 8 A.M. to 8 P.M. (PT), 7 days a week. (TTY users should call 711).
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies
Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Central Health Medicare Plan’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information, call our Member Services Department at 1-866-314-2427, 8 A.M. to 8 P.M. (PT), 7 days a week. (TTY users should call 711).
|Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems reading the PDF documents, please download the latest version of Adobe Acrobat Reader®.|