Medicare AdvantageCoverageMedium impact
25-469m 2025 Non-Formulary Drug Alternatives Available for Physicians and Other Providers
Health Net·CA·Pharmacy
We identified it
Jun 20, 2026
Summary
Wellcare By Health Net has released a 2025 guide listing covered alternative medications for drugs not on their formulary. This resource is available on their provider portal under 'Pharmacy Information for Providers' to help physicians prescribe covered alternatives when original prescriptions aren't covered.
Action Required
Immediately: All providers should access the 2025 non-formulary drug alternatives guide at the Health Net provider portal under 'Pharmacy Information for Providers' > 'Drug Information for Medicare Plans'. Use this resource when prescribing to identify covered medication alternatives for Medicare patients whose original prescriptions may not be covered under current formulary.