Anthem BCBSMedium ImpactPrior Auth
[Virginia] Anthem expands specialty pharmacy precertification list
Published June 2, 2026
AI Summary
Anthem has expanded their specialty pharmacy precertification list, requiring prior authorization for additional specialty medications. Billing teams must obtain precertification before dispensing newly added specialty drugs to avoid claim denials.
Action Required
Immediately: Review the updated Anthem specialty pharmacy precertification list at the provided URL. Update billing workflows to require prior authorization verification for newly added specialty medications before dispensing. Train pharmacy and billing staff on the expanded list to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties