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CommercialCoverageMedium impact

25-383m Medication Trend Updates and Formulary Changes - 2nd Quarter 2025

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

Summary

HealthNet California has released Q2 2025 medication trend updates and formulary changes affecting drug coverage and benefits. The policy requires review of updated drug lists and formulary changes that may impact prescription coverage and prior authorization requirements.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from HealthNet California's provider library. Billing team should check for formulary changes that may affect prescription coverage and prior authorization requirements for medications. Update any internal drug coverage references and inform providers of formulary changes that could impact prescribing decisions.

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