Some pharmacies have discontinued stocking long acting injectable antipsychotics. Others signal they may. Thank a new state policy resulting from a federal determination that the state has overpaid for Medi-Cal drugs generally. Pharmacies must pay back the difference going back 18 months. Going forward they must accept lower state reimbursement. For LAIs reimbursement may not cover pharmacy acquisition costs. Exit local independent and specialty pharmacies, perhaps some chain pharmacies as well. CPA is exploring a possible legislative solution