MedicaidCoverageMedium impact
25-026m Medication Trend Updates and Drug Benefit Changes - 1st Quarter 2025
Health Net·CA·Pharmacy
Effective date
Jan 9, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has released quarterly updates to their drug formulary and medication benefit policies for Q1 2025. The policy requires providers to review drug list changes and medication safety issues that may affect prescribing and billing for covered medications.
Action Required
Immediately: Download and review the Provider Update PDF from HealthNet's provider library to identify specific drug formulary changes. Update prescribing protocols and prior authorization requirements based on the detailed changes outlined in the full document. Applicable to Imperial County Medi-Cal providers.