ExchangeAdministrativeMedium impact
22-610 Medication Trend Updates and Formulary Changes - 2nd Quarter 2022
Health Net·CA · Pain Management, Family Medicine, Internal Medicine +2 more·Prior Authorization
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net is implementing a new Pharmacy Lock-In Program starting Q3 2022 for Ambetter plans to prevent opioid misuse by restricting members to designated pharmacies and providers for 12 months. No formulary changes occurred for Q2 2022.
Action Required
Before Q3 2022: Providers should be aware that some Ambetter members may be enrolled in the Pharmacy Lock-In Program which restricts their opioid prescriptions to designated pharmacies and providers. Contact Health Net if questions arise about locked-in members needing emergency medication overrides or alternative pharmacy access.