23-279sum Medication Trend Updates and Formulary Changes- 2nd Quarter 2023
Date: 04/04/23
Know what’s changed or changing and plan accordingly
Several FDA-approved biosimilars of Humira will become available in 2023 to treat a number of autoimmune conditions in adult and children including rheumatoid arthritis, Crohn’s disease and ulcerative colitis.
All buprenorphine prescriptions now only require a standard DEA registration number. The previously used DATA-Waiver (also known as X-Waiver) registration numbers are no longer needed for any prescription.
These medication safety issues and a list of recent changes to the Health Net* commercial Formulary, Medi-Cal drug benefits and Medicare Part D Formulary are available in the complete provider update 23-279, Medication Trend Updates and Formulary Changes – 2nd Quarter 2023 (PDF). The list contains brand-name prescription medications, statuses, alternatives, and comments.
You can access this update in the Provider Library. Select your line of business. Then go to Updates and Letters > Updates and Letters for 2020 and Beyond.
Complete lists of the commercial Formularies, Medi-Cal drug benefits and Medicare Part D Formularies are available on the Health Net provider website. 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) | 800-675-6110 | 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 Health Net Provider Services Center by email at, by phone or through the Health Net provider website.
Line of business | Phone number | Email address |
|---|---|---|
IFP Ambetter PPO | 844-463-8188 | provider_services@healthnet.com |
IFP Ambetter HMO | 888-926-2164 | provider_services@healthnet.com |
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 800-641-7761 | provider_services@healthnet.com |
Medicare (Individual & Employer Group) | 800-929-9224 | provider_services@healthnet.com |
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.