MedicaidCoverageMedium impact

24-697m Medication Trend Updates and Formulary Changes - 3rd Quarter 2024

Q: Who is affected by this change?

This affects Health Net Family Medicine, Internal Medicine, General Practice, Pediatrics, Cardiology, Endocrinology +1 more providers in CA on Medicaid plans.

Health Net·CA · Family Medicine, Internal Medicine, General Practice +4 more·Pharmacy

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

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Summary

HealthNet California has released 3rd Quarter 2024 formulary changes and medication safety updates affecting Medi-Cal providers in Imperial County. The policy includes updates to medication coverage and formulary restrictions that may impact prescription billing and prior authorization requirements.

Action Required

Action needed

Immediately: Download and review the Provider Update PDF from HealthNet California's provider library to identify specific formulary changes. Update medication prior authorization workflows and billing procedures based on the detailed changes outlined in the full document. Verify current medication coverage before prescribing for Medi-Cal patients in Imperial County.

Related policy hubs

Health Net policies CA policy changes Family Medicine Internal Medicine General Practice Pediatrics Cardiology Endocrinology Psychiatry