CommercialCoverageMedium impact
26-415m Medication Trend Updates and Drug List/Formulary Changes – 2nd Quarter 2026
Health Net·CA·Pharmacy
Effective date
Apr 1, 2026
We identified it
Jun 20, 2026
Summary
HealthNet California has issued their second quarter 2026 medication trend updates including drug list and formulary changes. The policy requires review of drug benefit changes and medication safety issues, with a downloadable PDF containing specific details.
Action Required
By April 1, 2026: Clinical and billing teams must download and review the Provider Update PDF from HealthNet's provider library to understand specific drug list and formulary changes. Update prior authorization requirements and coverage determinations in billing systems based on formulary modifications. Verify drug coverage before prescribing to avoid claim denials.