Anthem BCBSMedium ImpactPrior Auth
[Ohio] Anthem expands specialty pharmacy precertification list
Published June 2, 2026
AI Summary
Anthem has expanded their list of specialty pharmacy medications that require precertification before dispensing. This means additional specialty drugs now need prior authorization approval before patients can receive them, which could affect prescription fulfillment and patient care coordination.
Action Required
Immediately: Clinical staff must verify precertification requirements for all specialty pharmacy prescriptions through Anthem's updated list before prescribing. Update prescription workflow to include precertification check for specialty medications. Notify providers that failure to obtain precertification may result in coverage denials and patient access delays.
Plan Types
Commercial
States
OH
Specialties
all-specialties