Anthem BCBSMedium ImpactPrior Auth
[Georgia] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem in Georgia has expanded their list of specialty pharmacy medications that require precertification (prior authorization) before dispensing. This means more specialty drugs will need approval before patients can receive them from specialty pharmacies.
Action Required
Immediately: Review the expanded precertification list on Anthem's provider portal. Update clinic workflows to verify precertification requirements for all specialty pharmacy medications before prescribing. Train providers and clinical staff to check authorization status for specialty drugs. Claims for specialty medications without proper precertification will be denied.
Plan Types
Commercial
States
GA
Specialties
all-specialties