Anthem BCBSMedium ImpactPrior Auth
[Georgia] Expansion of the specialty pharmacy precertification list
Published May 3, 2026
AI 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.
Plan Types
All Plans
States
GA
Specialties
all-specialties