Anthem BCBSHigh ImpactPrior Auth
[Ohio] Prior authorization and step therapy updates for medications billed under the medical benefit
Published May 22, 2026
AI Summary
Anthem has updated prior authorization and step therapy requirements for medications billed under the medical benefit in Ohio. This affects drugs administered in clinical settings that require pre-approval or must follow specific treatment sequences before coverage is approved.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific medications affected. Update prior authorization workflows for medical benefit drugs. Train clinical staff on new step therapy requirements. Verify authorization status before administering affected medications to avoid claim denials.
Plan Types
Commercial
States
OH
Specialties
all-specialties