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CommercialCoverageMedium impact

24-1016m 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 their 4th Quarter 2024 medication trend updates and formulary changes affecting drug coverage and benefits. Providers need to review the updated drug lists and formulary to ensure proper prescribing and billing practices.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from HealthNet's provider library. Clinical staff should review updated formulary changes to ensure prescribed medications are covered. Billing team should verify any drug benefit changes that may affect prior authorization requirements or coverage determinations for pharmacy claims.

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