CommercialCoverageMedium impact
23-695sum Summary Update: Medication Trend Updates and Formulary - 3rd Quarter 2023
Health Net·CA·Pharmacy
We identified it
Jun 20, 2026
Summary
Health Net updated their formularies for Q3 2023, including patent expirations for brand-name medications creating new generic options, FDA withdrawal of Makena for preterm birth prevention, and approval of over-the-counter Narcan nasal spray. Multiple medications moved between formulary tiers affecting coverage and prior authorization requirements.
Action Required
Immediately: Review the complete update 23-695 PDF for specific formulary changes affecting your patients. Update prior authorization lists and medication coverage information in billing system based on tier changes. For questions about specific drug coverage, contact appropriate pharmacy help lines: Commercial (800-548-5524 option 3), Medi-Cal Rx (800-977-2273), or Medicare (800-867-6564).