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CommercialPrior AuthMedium impact

Pharmacy Preauthorization List Update

EmblemHealth·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

EmblemHealth ConnectiCare has updated their Pharmacy Medical Preauthorization Lists, affecting which medications require prior authorization. Billing teams must check the revision history for specific changes and their effective dates to ensure proper prior authorization is obtained for affected pharmacy claims.

Action Required

Action needed
Immediately: Review the revision history at the EmblemHealth ConnectiCare policy source to identify specific medications added or removed from preauthorization lists. Update prior authorization workflow procedures for affected pharmacy claims. Verify preauthorization requirements before dispensing medications to avoid claim denials.

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