Prescription Drug Discount Program for Medicare Recipients

Description

Prescription Drug Discount Program for Medicare Recipients

California law (Senate Bill 393 [2000]) enables Medicare recipients to
obtain their prescription medications at a cost no higher than the Medi-Cal
reimbursement price for those drugs.

Here’s how it works:
 You do not have to register or be a Medi-Cal recipient to use this program.
 Applies only to a prescription medication that is not covered by insurance.
 Cannot be used for Over-the-Counter or Compound medications.
 You must have a Medicare card, and show it to the pharmacy staff.
 Give your prescription to the pharmacy staff, ask for the Medi-Cal
reimbursement price, and ask if that is the lowest price the pharmacy will
accept for the medication.
 Be aware that the Medi-Cal price may be higher than the pharmacy cash
price.
 If the Medi-Cal price is lower, you can pay that price, plus a small
processing fee of $0.15, for the prescribed medication.
 You must pay for the prescription in full at the pharmacy.
 Only Medi-Cal provider pharmacies are required by law to offer and
accept the Medi-Cal reimbursement price as payment for prescription
medication for Medicare recipients. However, non-Medi-Cal pharmacies
may also offer the Medi-Cal price if they choose.
If any Medi-Cal provider pharmacy refuses to participate in this program, you
may file a complaint with the CA Board of Pharmacy electronically at
http://www.pharmacy.ca.gov or by downloading the Board’s Consumer
Complaint form and mailing it to the Board.
Pharmacies or Medicare recipients with questions may contact the Medi-Cal
Help Line at 1-800-541-5555 or by email at sb393inquiry@dhcs.ca.gov.

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