A drug list, also called a formulary, is a list of drugs that includes drugs covered by Health Net Access. The drug list is updated often and may change.
Pharmacy Prior Authorization
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 doctor must complete and fax a Prior Authorization form to 1-800-977-4170.
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.