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MedicaidCoverageMedium impact

24-1018m Medication Trend Updates and Formulary Changes - 4th Quarter 2024

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

Summary

HealthNet California has released 4th Quarter 2024 formulary changes and medication trend updates affecting drug coverage lists and medication safety issues. Medical billing teams need to review the updated drug formulary to understand which medications are covered and any new restrictions.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from HealthNet California's provider library to identify specific formulary changes. Update internal drug coverage references and inform providers of any newly restricted or non-covered medications. Verify coverage before prescribing affected medications to avoid claim denials.