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MedicaidCoverageMedium impact

24-1017m 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 medication trend updates and formulary changes affecting drug coverage and potentially prior authorization requirements. The policy includes medication safety issues and drug list modifications that may impact prescription coverage for Medi-Cal patients in specific California counties.

Action Required

Action needed
Immediately: Review the complete Provider Update PDF document available at providerlibrary.healthnetcalifornia.com to identify specific formulary changes, new prior authorization requirements, and medication safety updates. Update EMR templates and encounter forms based on any new drug coverage restrictions or requirements identified in the full document.