Anthem BCBSMedium ImpactPrior Auth
[Virginia] Expansion of the specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Virginia Anthem has expanded their specialty pharmacy precertification list, requiring prior authorization for additional specialty medications. This affects billing for specialty drugs that previously did not require precertification.
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 for affected specialty drugs. Notify providers to obtain precertification before prescribing newly listed specialty medications to avoid claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties