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Second Quarter 2025 Drug List Changes

Date: 02/28/25

Update to the Outpatient Prior Authorization Request Form
*includes update to the fax number to submit requests for Buy & Bill drugs

The form for manually submitting prior authorization (PA) requests for outpatient services, including buy and bill drugs, has been updated. The main update to the PA request form is the change in the fax number to submit PA requests for Buy & Bill drugs. The new fax number for Buy & Bill Drug requests is 833-782-0054. To help ensure that your requests are properly routed for review and there is no delay in determination please ensure that you and your staff are using the updated form and current fax number corresponding to the request type when submitting requests. The updated form (PDF) is posted on our website.

Health Net Preferred Drug List Changes

Health Net’s Drug Lists are updated quarterly and available online.

To learn more about Health Net Preferred Drug List Changes, download the Second Quarter 2025 Drug List Changes (PDF).

Additional Information

For questions regarding the information contained in this update, please contact the Health Net Pharmacy Department at 1-888-802-7001.