MedicaidCoverageMedium impact
24-020m Medication Trend Updates and Formulary Changes - 1st Quarter 2024
Health Net·CA·Pharmacy
Effective date
Jan 4, 2024
We identified it
Jun 20, 2026
Summary
HealthNet California has released first quarter 2024 formulary changes and medication trend updates affecting pharmacy benefits. Medical billing teams should review the updated formulary to understand which medications are now covered, require prior authorization, or have been removed from coverage.
Action Required
Immediately: Billing team must download and review the Provider Update PDF from HealthNet California's provider library to identify specific formulary changes. Update prior authorization requirements and coverage information in billing system based on the detailed changes outlined in the full document. Notify providers of any medications requiring new prior authorizations or coverage restrictions.