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 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 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 the CenCal Health COVID Resources Webpage