Pharmacy 150 150 My Health LA

The Health Services (Health Services) established a countywide retail and 340B pharmacy network for MHLA participants. Our Pharmacy Services Administrator (PSA) is Ventegra, a local Glendale-based company which provide participants with broad access to medications through their extensive countywide network of pharmacies. 

The following documents are now available for all CPs. For any questions, please contact your MHLA Program Advocate.

  1. MHLA Pharmacy Phase 2 Orientation (with audio) Revised 07/18/2018
  2. Pharmacy Fact Sheet (English/Spanish)
  3. New Member Letter to get Medications (English/Spanish)
  4. Onsite Pharmacy and Electronic Dispensary Best Practices – quick tips on the claim adjudication process to ensure appropriate payment for your prescription dispensations – developed by Ventegra New 05/16/2019
  5. Provider Bulletin #17 – Sunsetting of MHLA Pharmacy Services

For more information on VentegraVentegra Introductory Overview Presentation

MHLA Prior Authorization Form for Vivitrol (injectable naltrexone)
MHLA Prior Authorization Form for Empagliflozin (Jardiance), Canagliflozin (Invokana) Updated 03/21/2023
MHLA Prior Authorization Form for Exenatide (Byetta)
MHLA Prior Authorization Form for Liraglutide (Victoza)
MHLA Prior Authorization Form Updated 05/31/2019
MHLA PAP Drug Notification Form Updated 10/25/2016
MHLA PAP Notification Excel Form Updated 10/25/2016

Note:  MHLA is a no-cost health care program for low-income individuals who live in Los Angeles County – MHLA is not health insurance and prior authorization is not required for PAP eligibility. Please see this letter confirming that MHLA is not insurance.  If you have any questions about PAP for MHLA participants, please contact DHS Pharmacy Affairs | Office: 213-288-8476.