CommercialPrior AuthMedium impact
[Georgia] Anthem expands specialty pharmacy precertification list
Anthem BCBS·GA·Pharmacy
We identified it
Jun 13, 2026
Summary
Anthem has expanded their specialty pharmacy precertification list, requiring prior authorization for additional specialty medications. This affects billing for specialty drugs that previously did not require precertification.
Action Required
Immediately: Billing team should access the updated precertification list at the provided Anthem URL to identify newly added specialty medications. Update prior authorization workflows to include these medications. Verify precertification requirements before prescribing or billing for specialty pharmacy drugs to avoid claim denials.