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Compounded Medications

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Ancillary

Most Health Net pharmacy benefit plans cover medically necessary and appropriate compounded prescriptions that meet all of the following conditions:

  • Includes at least one federal legend medication listed on the Health Net Recommended Drug List (RDL) as one of its main compounded ingredients.
  • There is scientific evidence and peer-reviewed literature demonstrating safety and effectiveness for the specific medical condition.
  • There is no acceptable proprietary alternative medication.
Last Updated: 07/01/2024