CommercialPrior AuthMedium impact
21-290 New Medications Added to the Prior Authorization Requirements List
Health Net·CA · Oncology, Hematology, Neurology +4 more·Prior Authorization
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Health Net has added 12 new medications to their prior authorization requirements list, effective immediately. These include recently FDA-approved drugs like Blenrep, Monjuvi, Spravato, and others that now require prior authorization before administration or dispensing.
Action Required
Immediately: Clinical staff must obtain prior authorization before prescribing or administering Blenrep, Monjuvi, Scenesse, Spravato, Tecartus, Uplizna, Viltepso, Zepzelca, Oxlumo, Breyanzi, Evkeeza, and Nulibry for Health Net patients. Access PA forms at Health Net provider portal under 'Services Requiring Prior Authorization'. Update EMR alerts to flag these medications for PA requirements.