California AB1366 would reimburse pharmacists for services under Medi-Cal.
California AB1366 would amend the Medi-Cal program to cover pharmacist services, including medication therapy management (MTM) services for specialty drugs. The bill sets the reimbursement rate for pharmacist services at 85% of the Medi-Cal physician fee schedule, with MTM services reimbursed at the same rate as physician services. It requires insurers to reimburse pharmacists for services within their scope of practice, including travel medications, naloxone, hormonal contraception, immunizations, and tobacco cessation counseling.
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