Anthem BCBSMedium ImpactPrior Auth
[Georgia] Anthem expands specialty pharmacy precertification list
Published June 2, 2026
AI Summary
Anthem has expanded their specialty pharmacy precertification list, requiring additional prior authorization for certain specialty medications. This change affects billing for specialty drugs that previously did not require precertification.
Action Required
Immediately: Billing team must access the updated precertification list at the Anthem provider portal to identify newly added specialty medications. Update billing system to flag these medications for prior authorization before dispensing or billing. Notify providers to obtain precertification for affected specialty drugs to prevent claim denials.
Plan Types
Commercial
States
GA
Specialties
all-specialties