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MedicaidCoverageMedium impact

25-025m Medication Trend Updates and Drug Benefit Changes - 1st Quarter 2025

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

Summary

HealthNet California has issued quarterly medication trend updates and drug benefit changes for 1st Quarter 2025, affecting Medi-Cal plans in specific counties. This policy requires review of drug list changes and medication safety issues that may impact pharmacy benefits and coverage.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from HealthNet California's provider library to identify specific drug list changes and medication safety issues. Clinical and billing teams should assess impact on current patients in Fresno, Kings, and Madera counties with Medi-Cal coverage and update formulary references as needed.

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