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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Gold Coast Health Plan
Its Reimbursements to Pharmacies Are Reasonable, but Its Pharmacy Benefits Manager Did Not Always
Process Claims Correctly

Report Number: 2018-124

Selected Abbreviations Used in This Report

COHS County Organized Health System
commission Ventura County Medi-Cal Managed Care Commission
DHCS Department of Health Care Services
Gold Coast Gold Coast Health Plan
PBM pharmacy benefits manager
PSAO Pharmacy Services Administrative Organization
RFP request for proposal