Drug List and Medical Policy Changes Coming

What’s Changing

As of January 1, 2026, some drugs move to a new formulary list. The following drugs will also require a new prior authorization:

• New prescriptions: For prescriptions dispensed on or after January 1, 2026, submit a prior authorization.
• Existing prescriptions: If a preferred alternative isn’t right for a patient already taking these prescriptions, submit a prior authorization. Approved requests may cost more than preferred drugs, depending on the member’s health plan.

See full details on our page on our formulary drug list changes.

Questions? Call our pharmacy services team between 7:30 a.m. and 6 p.m. Pacific Time at 888-261-1756.