CommercialPrior AuthMedium impact
[California] Anthem expands specialty pharmacy precertification list
Anthem BCBS·CA·Pharmacy
We identified it
Jun 13, 2026
Summary
Anthem has expanded their list of specialty medications that require precertification before dispensing. This affects specialty pharmacy prescriptions and will require prior authorization for additional medications not previously covered.
Action Required
Immediately: Review the updated specialty pharmacy precertification list at the provided URL. Update billing team procedures to verify precertification requirements for all specialty medications before prescribing. Inform providers to check authorization status before writing specialty pharmacy prescriptions to avoid claim denials and patient access delays.