MedicaidPrior AuthMedium impact
25-1085 New Policy Expands Access to Hepatitis C Treatment
Health Net·CA · Gastroenterology, Infectious Disease, Internal Medicine +1 more·Prior Authorization
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Effective October 1, 2025, California Medi-Cal has removed the 28-day supply limitation for Hepatitis C treatments, now allowing providers to dispense up to a 12-week supply per fill. This eliminates prior authorization barriers for full-course dispensing of Hepatitis C medications under Medi-Cal RX in Fresno, Kings, and Madera counties.
Action Required
By October 1, 2025: Billing team must update Medi-Cal RX dispensing protocols to allow up to 12-week supplies of Hepatitis C treatments instead of the previous 28-day limitation. Review the Contract Drugs List for eligible treatments and update pharmacy/dispensing systems accordingly. Contact Medi-Cal RX with questions about applicable treatments and dispensing changes.