Medicare AdvantageCoverageMedium impact
21-847m 2022 Individual Wellcare By Health Net Plan Codes, Service Area Changes and Medicare Part D Formulary
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Wellcare By Health Net updated their 2022 Medicare Advantage plan codes and service areas, added three optional supplemental packages with varying county availability in California, and removed several drugs from their Medicare Part D formulary effective January 1, 2022, requiring providers to use specified alternatives or submit coverage determination requests.
Action Required
Immediately: Download and review the 2022 Wellcare By Health Net Plan Codes by County flyer to update monthly reporting with new plan codes and service areas. For patients on removed formulary drugs (BYDUREON Pen, Auryxia, Trulance, Brinzolamine), switch to specified alternatives or submit Coverage Determination requests using the Medicare Part D form. Contact Medicare Pharmacy Services at 800-867-6564 for authorization questions.