CommercialCoverageMedium impact
21-471 Medication Trend Updates and Preferred Drug List Changes - 3rd Quarter 2021
Health Net·CA·Pharmacy
We identified it
Jun 20, 2026
Summary
Health Net has updated their preferred drug lists (formularies) for commercial, Medi-Cal, and Medicare Part D plans for Q3 2021, with changes affecting medication coverage and a new zero copayment program for Medicare Advantage members. Billing teams need to review the complete provider update PDF for specific formulary changes that may affect prescription coverage and patient costs.
Action Required
Immediately: Download and review the complete provider update PDF from Health Net's provider library to identify specific formulary changes. Update prior authorization requirements and coverage information in billing system for affected medications. Notify providers of zero copayment program for Medicare Advantage members and any preferred drug list changes that may affect prescribing decisions.