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23-1359 Quarterly Updates on Medication Trends and Formulary Changes Will Be Available Online in 2024

Health Net·CA·Pharmacy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Starting in 2024, Health Net's quarterly medication trends and formulary changes updates will only be available online through the Provider Library instead of being sent via fax, mail, or email. Providers will be notified of these online postings through monthly provider updates.

Action Required

Action needed
By January 2024: Clinical and billing staff should bookmark the Health Net Provider Library and establish a process to check monthly provider updates for notifications about quarterly medication trends and formulary changes. Designate a team member to regularly access the Provider Library to review formulary updates that may affect medication coverage and prior authorization requirements.