Yes. Khang Pharmacy accepts Medi-Cal Rx for eligible outpatient prescriptions. Coverage depends on member eligibility, the medication, prescription requirements and applicable Medi-Cal Rx rules.

Bring your current Medi-Cal or insurance information and identification when applicable. If transferring prescriptions, it is helpful to have your previous pharmacy information and a current medication list or medication bottles.

Tell the pharmacy that your coverage has changed and provide your current insurance information before your next prescription is processed.

Yes, many eligible prescriptions can be transferred. Transfer requirements depend on the medication, prescription and applicable rules. Call us and we can help determine the appropriate next step.

A valid prescription does not automatically guarantee insurance coverage. A medication may have requirements involving prior authorization, quantity, refill timing, the covered product or other coverage criteria.

Khang Pharmacy can review the claim response available to the pharmacy and help explain what it indicates.

A rejected claim does not necessarily mean that the medication can never be covered. The response may indicate that additional information, prior authorization, a different covered product or another action is required.

The Medi-Cal Rx Contract Drugs List, or CDL, is one of the resources used to determine outpatient drug coverage. Coverage requirements can differ depending on the medication and circumstances.

Eligibility, refill timing, quantity, the prescription, coverage requirements or other claim information may have changed. The pharmacy can review the current claim response to identify the issue being reported for that fill.

Prior authorization, commonly called PA, means additional review is required before coverage can be approved for a particular medication or product. A PA requirement does not automatically mean that the medication has been permanently denied.

Depending on the situation, the prescriber or pharmacy may participate in the prior authorization process. Clinical information from the prescriber may be required. Khang Pharmacy can review the claim and, when appropriate, help coordinate with the prescriber regarding the information needed.

Review timing depends on when a complete request is received and whether additional information is needed. The time a patient waits can therefore be longer than the formal review period if the request is incomplete or has not yet been submitted.

The next step depends on the reason for the decision and the patient's circumstances. The prescriber may need to provide additional information or consider another appropriate treatment option. Patients may also have rights regarding certain coverage decisions.

Prescription coverage generally considers when the previous supply was dispensed before paying for another fill. If there has been a dose change or another qualifying circumstance, additional processing or authorization may be necessary.

Contact the pharmacy well before your trip. Early refill options depend on the prescription, medication, refill timing and applicable coverage requirements. Some situations may require coordination with the prescriber or Medi-Cal Rx.

Replacement requirements can vary depending on the medication, prescription and circumstances. Contact us so we can review the specific prescription and claim situation.

Certain medications may have quantity or dispensing limits. If the prescribed amount exceeds an applicable limit, additional authorization or another action may be required.

Medication availability can change. We can review the availability of the prescribed product and discuss appropriate next steps. Some changes may require involvement from the prescriber.

Coverage of brand-name versus generic medication depends on the prescription and applicable Medi-Cal Rx requirements. Additional authorization may be necessary in some situations.

Certain over-the-counter products may be covered when applicable Medi-Cal Rx requirements are met. Coverage is product-specific, and a prescription or additional authorization may be required for some products.

No. Accepting Medi-Cal Rx means Khang Pharmacy can process eligible Medi-Cal Rx prescription claims. It does not mean every medication, product, quantity or refill request automatically meets coverage requirements.

When appropriate, we can communicate with the prescriber regarding refill requests, prescription clarification or information needed for certain coverage situations. The prescriber and insurance program remain responsible for decisions requiring their authorization.

Yes. We can review the claim response available to the pharmacy and explain what it indicates. Depending on the situation, the next step may involve the pharmacy, prescriber, Medi-Cal Rx or updated member information.

Yes. Vietnamese-language support is available for patients who need help understanding prescriptions, refills, Medi-Cal Rx questions and Khang Pharmacy services.

Nhà Thuốc Khang có hỗ trợ bằng tiếng Việt cho bệnh nhân có câu hỏi về toa thuốc, refill, Medi-Cal và các dịch vụ của nhà thuốc.

Some issues require action from the prescriber or Medi-Cal Rx. The Medi-Cal Rx Customer Service Center is available to members at (800) 977-2273. We can help explain when an issue appears to require another party's involvement.