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CommercialPrior AuthMedium impact

[Ohio] Anthem expands specialty pharmacy precertification list

Anthem BCBS·OH·Pharmacy
Effective date
Not stated
We identified it
Jun 13, 2026
Days to comply
—

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

Action needed
Immediately: Billing team should access the Anthem provider portal to review the updated specialty pharmacy precertification list. Update prior authorization workflows to include newly added specialty medications. Verify precertification requirements before dispensing or prescribing affected specialty drugs to avoid claim denials.