Recommended Drug List and Cal MediConnect Formulary
- Physicians (does not apply to Cal MediConnect)
- Participating Physician Groups (PPG)
(does not apply to HSP)
The Health Net Recommended Drug List (RDL) and Cal MediConnect Formulary are the approved lists of covered medications. In addition, they identify whether a generic version of a brand-name medication exists and whether prior authorization is required.
Medications that are listed in the RDL and Cal MediConnect Formulary are covered if the member has a prescription benefit plan; however, the prescription medication must be dispensed for a condition, illness or injury that is covered by Health Net. Some medications may require prior authorization from Health Net in order to be covered.
The Health Net RDL and Cal MediConnect Formulary are available for review or download from the provider portal:
- For individual Medicare Advantage (MA) members, refer to provider.healthnetcalifornia.com site.
- For employer group MA HMO members, commercial and Cal MediConnect plans refer to provider.healthnet.com site.