LACDMH Pharmacy Services/PBM Contacts

DMH Formulary

Medicare Part D Information

Pharmacy List 

Medication Treatment Authorization Request (M-TAR)

LACDMH Manual Eligibility Update Request (for UNINSURED CLIENTS)

This form must be completed and sent through a secure email to immediately after opening a new client episode or, for Correctional Health Facilities and Juvenile Justice Mental Health Services, immediately after closing an uninsured client’s episode.



Related Information