Pharmacy

Need quick access to our drug lists and pharmacy forms? You're in the right place. Here, you can find the most current information on drug coverage for both Medicare and commercial plans. Download Prior Authorization and other related forms at your convenience. Check the Pharmacist Resource Center for regular updates on changes in coverage and other pharmacy-related news.

Group Drug Lists

The drug list, or formulary, is a list of covered drugs selected by Health Net, along with a team of health care providers. These drugs are selected because they are believed to be a necessary part of a quality treatment program. Our drug lists are updated regularly and are subject to change.

OR Essential Rx Drug List (PDF)

Drug Information for Medicare Advantage Plans

Visit the Health Net Oregon Medicare Advantage site for comprehensive pharmacy guidance.

Part B Step Therapy List Effective 1/1/24 (PDF)

Part B Update Effective 7/1/23 (PDF)

Part B Update Effective 4/1/23 (PDF)

Part B Drug List Effective 1/1/23 (PDF)

Pharmacy Criteria/Policies

Visit the Clinical, Pharmacy & Payment Policies page

Electronic Prior Authorization Submissions

Submit your prior authorization (PA) requests electronically through our preferred solution CoverMyMeds. Electronic prior authorization (ePA) automates the process, making it a quick and simple way to complete PA requests. The ePA process is HIPAA compliant and enables faster determinations. You may also use this link to track ePA requests.