MedicaidCoverageMedium impact
26-020m 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 published Q1 2026 formulary changes and medication trend updates affecting drug coverage and benefits. The policy requires providers to review updated drug lists and medication safety issues, though specific formulary changes are contained in a separate PDF document not provided.
Action Required
By January 2, 2026: Clinical and billing teams must download and review the Provider Update PDF from HealthNet's provider library to identify specific formulary changes. Update prior authorization lists, preferred drug references, and patient education materials based on the new drug list. Ensure providers are aware of any medication safety issues outlined in the update.