All PlansPrior AuthMedium impact
Updated Preauthorization Lists
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth has updated their Medical Pharmacy Preauthorization List (JP72123) with an effective date of June 2026. The billing team needs to review the revision history to identify which medications now require prior authorization versus those that may have been removed from the preauth requirements.
Action Required
By June 2026: Billing and clinical teams must access the EmblemHealth provider portal to review the updated Medical Pharmacy Preauthorization List JP72123 revision history. Update internal pharmacy preauthorization protocols and notify providers of any newly added medications requiring prior authorization. Verify current preauth requirements before prescribing to avoid claim denials.