Anthem BCBSMedium ImpactPrior Auth
[Georgia] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem has expanded their list of specialty pharmacy medications that require precertification before dispensing. This affects billing for specialty drugs that previously did not need prior authorization.
Action Required
Immediately: Billing team must access the updated precertification list at the Anthem provider portal to identify newly added specialty medications. Update prior authorization workflows to include these medications. Verify precertification status before prescribing or dispensing affected specialty drugs to avoid claim denials.
Plan Types
Commercial
States
GA
Specialties
all-specialties