22-1069sum Stay Current with Medication Trend Updates and Changes for Patients - 3rd Quarter 2022
Date: 12/16/22
Know what’s changed or changing and plan accordingly
A list of recent changes to the Health Net commercial Formulary, Medi-Cal drug benefits and Medicare Part D Formulary is available in the complete provider update 22-1069, Stay Current with Medication Trend Updates and Changes for Patients — 3rd Quarter 2022. The list contains brand-name prescription medications, status, alternatives, and comments.
Complete lists of the commercial Formularies, Medi-Cal drug benefits and Medicare Part D Formularies are available on the Health Net provider website as listed below. Once on the website, the lists are viewable under Pharmacy Information.
Pharmacy help line
For more information regarding changes to the Health Net Commercial Formulary, Medi-Cal drug benefits, or Medicare Part D Formulary, contact the proper pharmacy phone numbers listed below.
Product | Phone number | Fax number |
|---|---|---|
Pharmacy Benefit (Medi-Cal Rx) | 800-977-2273 | 800-869-4325 |
Medical Benefit Drugs (Medi-Cal) | 877-277-0413 | 833-953-3436 |
Commercial Pharmacy Services | 800-548-5524, option #3 | 866-399-0929 |
Medicare Pharmacy Service Center | 800-867-6564 | 800-977-8226 |
Additional information
If you have questions regarding the information contained in this update, contact the applicable Health Net Provider Services Center within 60 days, by phone or through the Health Net provider website as listed below.
Line of business | Phone number | Email address |
|---|---|---|
EnhancedCare PPO (IFP & SBG) | 844-463-8188 | provider_services@healthnet.com |
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 800-641-7761 | |
IFP (CommunityCare HMO, PPO, PureCare HSP, & PureCare One EPO) | 888-926-2164 | |
Medicare (Individual & Employer Group) | 800-929-9224 | |
Cal MediConnect – Los Angeles County | 855-464-3571 | |
Cal MediConnect – San Diego County | 855-464-3572 | |
Medi-Cal | 800-675-6110 | N/A |
This information applies to Physicians and Participating Physician Groups (PPGs).
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.