CommercialCoverageMedium impact
21-027 Stay Up-To-Date With Alternative Sites for Infusion Care
Health Net·CA · Rheumatology, Neurology, Oncology +6 more·Pharmacy
We identified it
Jun 20, 2026
Summary
Health Net now allows eligible infusion medications to be administered at alternative sites (home, ambulatory infusion suites, or doctor's office) instead of hospital settings, with Coram CVS Specialty as the preferred provider. This policy covers a comprehensive list of infusion products for various conditions including autoimmune disorders, multiple sclerosis, immune deficiencies, and rare diseases.
Action Required
Immediately: Contact Peter Tran, Pharm.D at (714) 934-3362 for patient referrals to the SCOTI Program when prescribing any of the listed infusion medications. Update patient education materials to inform eligible patients about alternative infusion site options. Coordinate with Coram CVS Specialty for home or ambulatory infusion suite scheduling instead of defaulting to hospital-based infusions.