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 before dispensing. This means more specialty drugs will need prior authorization approval before patients can fill prescriptions, affecting billing and patient care workflows.
Action Required
Immediately: Review the updated specialty pharmacy precertification list on Anthem's provider portal. Update prior authorization workflows to include newly added specialty medications. Train staff to verify precertification requirements before prescribing or dispensing specialty drugs. Failure to obtain required precertification may result in coverage denials and patient access delays.
Plan Types
Commercial
States
GA
Specialties
all-specialties