COVID-19 Treatment Resources
CenCal Health is dedicated to keeping our providers up to date with the most current information for the treatment of COVID-19. The provided information gives details on the use of the pharmacy benefit and medical benefit for COVID-19 treatment.
There is no cost to members for medically needed screening, testing, and treatment for Coronavirus.
COVID-19 National Institutes of Health Guidelines
The following National Institutes of Health (NIH) COVID-19 Treatment Guidelines provide clinicians with evidence-based recommendations on the management of COVID-19 and are revised with the emerging, rapidly evolving COVID-19 treatment options: NIH COVID-19 Treatment Guidelines
For more information on COVID-19 treatments, including product fact sheets and California Treatment Centers, visit https://covid19.ca.gov/treatment/
COVID-19 Treatment Options
|
Pharmacy Benefit (Billed by a pharmacy) |
Medical Benefit (Billed on a medical claim) |
||
|
Medication/Vaccine or Test |
Medi-Cal Rx |
Medi-Cal FFS |
CenCal Health Benefit |
|
Paxlovid (nirmatrelvir/ritonavir) |
Yes |
No |
No |
|
Lagevrio (molnupiravir) |
Yes |
No |
No |
|
Veklury (remdesivir) |
Yes |
Yes |
Yes |
*CenCal Health Medical Benefit Coverage: Infused therapeutics with appropriate procedure codes can be billed to CenCal Health on a medical claim once FDA-approved (i.e., remdesivir). As infused therapeutic options become FDA-approved and supported by DHCS, NIH Treatment Guidelines, CenCal Health is responsible for coverage if billed on a medical claim
Medi-Cal Rx, New Resources for Providers: COVID-19 Testing and Treatment Support
Medi-Cal Rx is pleased to partner with the California Department of Public Health (CDPH) to announce the publication of new resources to support providers in assessing the need for and the delivery of COVID-19 treatment to Medi-Cal beneficiaries.
Additional Medi-Cal Rx resources can be found in the Medi-Cal Rx Provider Manual, Section 17.0: COVID-19 Vaccines, OTC Antigen Test Kits, and Therapeutics: Coverage and Reimbursements.
For additional helpful information for Providers regarding COVID-19 local screening & testing, visit