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If providers use a contract pharmacy to dispense 340B program drugs, can the contract pharmacy dispense non-340B program drugs to Medi-Cal recipients and bill Medi-Cal FFS directly?

April 26, 2017contract dispense drugs Medi-Cal pharmacy program recipients

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If providers use a contract pharmacy to dispense 340B program drugs, can the contract pharmacy dispense non-340B program drugs to Medi-Cal recipients and bill Medi-Cal FFS directly?

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A 340B program contract pharmacy may dispense non-340B program drugs to Medi-Cal recipients even if the beneficiary is considered a “patient” of the covered entity. The pharmacy can bill for such non-340B program drugs under the billing requirements in W&I Code, Section 14105.455. This applies to Medi-Cal FFS and rebate eligible COHS plans. Please review following FAQ #9 for detailed information.