[California] Anthem expands specialty pharmacy precertification list
AI Summary
Anthem has expanded their specialty pharmacy precertification list, requiring prior authorization for additional specialty medications. This affects practices that prescribe specialty drugs, as they will need to obtain precertification before patients can receive these medications through Anthem's specialty pharmacy network.
Action Required
Immediately: Review the expanded specialty pharmacy precertification list on Anthem's provider portal. Update prior authorization workflows to include newly added specialty medications. Train clinical staff to verify precertification requirements before prescribing specialty drugs to Anthem members. Failure to obtain required precertification may result in patient access delays or coverage denials.
Plan Types
Commercial
States
CA
Specialties
oncology, rheumatology, neurology, gastroenterology, dermatology, endocrinology