MedicaidCoverageMedium impact
26-019m Medication Trend Updates and Drug List/Formulary Changes - 1st Quarter 2026
Health Net·CA·Pharmacy
Effective date
Jan 2, 2026
We identified it
Jun 20, 2026
Summary
HealthNet California has released quarterly medication trend updates and drug list/formulary changes for Q1 2026. This policy affects pharmacy benefits and drug coverage for providers in specific California counties including Los Angeles, Sacramento, and others.
Action Required
Immediately: Download and review the Provider Update PDF from HealthNet's provider library to understand specific formulary changes. Update medication ordering protocols and verify drug coverage before prescribing. Notify providers of any newly restricted medications or prior authorization requirements for affected patients.