Medicare AdvantageAdministrativeMedium impact
23-1184 Let Members Know Their Pharmacy Benefit Manager is Changing to Express Scripts
Health Net·CA·Pharmacy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net members with Medicare and Ambetter plans are switching from CVS to Express Scripts for pharmacy benefits effective January 1, 2024. Members will receive new ID cards and must use them at pharmacies to ensure claims are processed correctly.
Action Required
By January 1, 2024: Front desk staff must verify Health Net Medicare and Ambetter members have their new ID cards with Express Scripts pharmacy information. Billing team should update patient records to reflect new pharmacy benefit manager for affected plans. Refer members to member services number on their ID card for pharmacy benefit questions.