Medicare AdvantageAdministrativeLow impact
[Virginia] Faster access to medications starts with informed prescribing
Anthem BCBS·VA·Provider Bulletin
We identified it
Sep 2, 2026
Summary
Anthem Blue Cross and Blue Shield is promoting the use of Real-Time Prescription Benefit (RTPB) and electronic Prior Authorization (ePA) capabilities to streamline medication access for Medicare Advantage members in Virginia. This is an informational bulletin encouraging practices to leverage existing tools within their EHR systems to reduce prior authorization delays and improve prescription affordability, with no new mandatory requirements or billing code changes.
Action Required
By September 1, 2026: Billing and clinical teams should coordinate with their EHR administrator to verify that RTPB (real-time prescription benefit) cost and coverage details are enabled and accessible within the prescribing workflow. Confirm that electronic prior authorization (ePA) capabilities are activated for medication authorizations. Assess whether additional training or support is needed to optimize use of these existing tools. No system changes are required; this is an opportunity to better utilize already-available functionality to reduce prescription delays and improve member savings.