CommercialPrior AuthMedium impact
[Georgia] Expansion of specialty pharmacy precertification list
Anthem BCBS·GA·Pharmacy
We identified it
May 3, 2026
Summary
Anthem Georgia has expanded their specialty pharmacy precertification list, requiring prior authorization for additional specialty medications. This affects billing for specialty drug prescriptions that previously did not require prior approval.
Action Required
Immediately: Billing team must access the updated specialty pharmacy precertification list at the provided URL to identify newly added medications requiring prior authorization. Update billing system alerts and provider workflows to flag these medications for prior auth before dispensing. Notify providers of the expanded list to prevent claim denials.