All PlansPrior AuthMedium impact
[Georgia] Expansion of the specialty pharmacy precertification list
Anthem BCBS·GA·Pharmacy
We identified it
May 3, 2026
Summary
Anthem has expanded their specialty pharmacy precertification list in Georgia, adding new medications that require prior authorization before dispensing. This affects specialty drugs that were previously not subject to precertification requirements.
Action Required
Immediately: Billing and clinical teams should review the updated specialty pharmacy precertification list at the provided URL to identify newly added medications. Update prior authorization workflows to include these medications. Inform providers that additional specialty drugs now require precertification before prescribing to avoid claim denials and patient access issues.