Pharmacy Information for Employers
Our drug lists are selected by Health Net, along with a team of health care providers. These drugs are included because they are believed to be a key part of a quality treatment program. The drug lists are updated regularly and may change.
Please contact us if you need help finding the drug list that applies to your plan.
Affordable Care Act Exchange Drug List
(for On/Off Exchange, Individual and Small Group Plans)
- Health Net Essential Drug List for Small Groups (PDF)
- CA Essential Drug List for Ambetter from Health Net (PDF)
- Alternative Drug List (PDF)
Commercial Drug Lists
- 2-Tier Recommended Drug List (PDF)
- 3-Tier Recommended Drug List (PDF)
- 3-Tier with Specialty Drug List (PDF)
- Alternative Drug List (PDF)
Searchable Drug List Tools
(for the most up-to-date drug lists)
For some drugs, your doctor must get approval from us before you fill your prescription. This is called prior authorization. We may not cover the drug if you don't get approval.
To request prior authorization, your prescriber must complete and fax a Prior Authorization Form (PDF) to:
- Commercial: 866-399-0929
- Medi-Cal Pharmacy PA: 800-869-4325
View Our Prior Authorization Guidelines
Once we receive the request, we will review it to see if it can be approved. If we deny the request, we will tell you why it was denied. We will also tell you how to appeal the decision.