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Frequently Asked Questions

What is a MRF?

A MRF (Medical Request Form) is the authorization form in which the prescribing physician will complete if a medication is non-formulary or requires a Prior Authorization as listed on the CenCal formulary. MRF Form

Who do I contact to check the status of an authorization?

To check the status of a Pharmacy authorization contact MedImpact at (800) 788-2949.

Where can I find the CenCal Health formulary?

CenCal Health Formulary

What is the difference between Medi-Cal and CenCal Health?

CenCal Health is a managed Medi-Cal plan in Santa Barbara and San Luis Obispo County. The Department of Health Care Services oversees the Medi-Cal program in the state of California.

How do I process Pharmacy Claims for CenCal Health?

CenCal Health is contracted with MedImpact who is the Pharmacy Benefits Manager (PBM). To process a pharmacy claim you may contact MedImpact at 1(800) 788-2949.  All CenCal Health programs utilize the same BIN, Carrier/PCN and Group.

Who is the Specialty Provider for CenCal Health?

All Specialty medications are processed through Optum® Specialty. Specialty Medication

How do I find a pharmacy in the CenCal Health network?

The majority of retail pharmacies are contracted with MedImpact. CenCal Health’s Pharmacy network is vast and spans both Santa Barbara and San Luis Obispo Counties. To locate a pharmacy within the CenCal network visit the Physician Directory.