MedicaidCoverageMedium impact
26-416m Medication Trend Updates and Drug List/Formulary Changes – 2nd Quarter 2026
Health Net·CA·Pharmacy
Effective date
Apr 1, 2026
We identified it
Jun 20, 2026
Summary
HealthNet California has released quarterly medication formulary updates for Q2 2026, affecting drug coverage and medication benefits for Medi-Cal patients in specific California counties. The policy requires review of drug list changes and medication safety issues that may impact prescription coverage and prior authorization requirements.
Action Required
By April 1, 2026: Providers in Fresno, Kings, and Madera counties must download and review the Provider Update PDF from HealthNet's provider library to understand formulary changes. Update prescription practices and prior authorization workflows based on new drug list requirements. Billing team should verify coverage for affected medications before processing claims.