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CommercialCoverageMedium impact

24-019m Medication Trend Updates and Formulary Changes - 1st Quarter 2024

Health Net·CA·Pharmacy
Effective date
Jan 4, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet California has released Q1 2024 formulary changes and medication trend updates affecting pharmacy coverage. The policy requires providers to review formulary changes and medication safety issues that may impact prescription coverage and prior authorization requirements.

Action Required

Action needed
Immediately: Review the Provider Update PDF at providerlibrary.healthnetcalifornia.com to identify specific formulary changes. Update prescription practices and inform providers of any new prior authorization requirements or medication alternatives. Verify coverage for commonly prescribed medications before prescribing.