CommercialPrior AuthMedium impact
Pharmacy Medical Preauthorization Updates
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth ConnectiCare has updated their Pharmacy Medical Preauthorization Lists with new prior authorization requirements for certain medications and medical items. The specific changes and effective dates are detailed in the revision history section of their policy document.
Action Required
Immediately: Access the EmblemHealth ConnectiCare policy document at the provided URL to review the specific preauthorization list changes and effective dates. Update prior authorization workflows and staff training for any medications or medical items that now require preauthorization. Verify preauth requirements before dispensing or billing for pharmacy medical items to avoid claim denials.