MedicaidCoverageMedium impact
22-427-Offer-Patients-an-Added-Treatment-Option-for-COVID-19-with-Oral-Antivirals
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
We identified it
Jun 20, 2026
Summary
Health Net California now covers two FDA-authorized oral antiviral treatments for COVID-19: Paxlovid™ and Lagevrio™. These medications can be prescribed for mild to moderate COVID-19 treatment at home, expanding treatment options for patients in specific California counties.
Action Required
Immediately: Billing team should verify coverage and billing procedures for Paxlovid™ and Lagevrio™ prescriptions. Contact Health Net California to confirm appropriate HCPCS codes and any prior authorization requirements for these oral antiviral treatments. Update provider resources to include these new coverage options.