CommercialPrior AuthMedium impact
Pharmacy Preauthorizations
EmblemHealth·Pharmacy
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their Pharmacy Medical Preauthorization Lists. Medical billing teams need to review the revised lists to ensure they are requesting prior authorizations for the correct medications when prescribing or billing for pharmacy services.
Action Required
Immediately: Review the updated Pharmacy Medical Preauthorization Lists for EmblemHealth and ConnectiCare at the provided URL. Update internal prior authorization checklists and notify providers of any medications that now require or no longer require prior authorization. Ensure staff verify current preauthorization requirements before prescribing covered medications to avoid claim denials.