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MedicaidCoverageMedium impact

25-1030m Medication Trend Updates and Formulary Changes – 4th Quarter 2025

Health Net·CA·Pharmacy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

HealthNet California has released 4th Quarter 2025 medication trend updates and formulary changes affecting drug coverage and benefits for Medi-Cal members in Imperial County. The policy includes updates to the drug list, formulary changes, and medication safety issues that may impact prescription coverage and prior authorization requirements.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from the HealthNet California provider library to identify specific formulary changes, drug coverage modifications, and any new prior authorization requirements. Update prescription protocols and inform providers of any medications that have been added, removed, or require additional documentation for Medi-Cal patients in Imperial County.

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