MedicaidCoverageMedium impact
[Virginia] Quarterly pharmacy formulary change notice — Cardinal Care Medicaid
Anthem BCBS·VA·Pharmacy
We identified it
May 3, 2026
Summary
Cardinal Care Medicaid has issued a quarterly pharmacy formulary change notice affecting which prescription medications are covered under their Medicaid plan in Virginia. The billing team needs to review the updated formulary to ensure proper prior authorization and coverage verification for affected medications.
Action Required
Review the updated Cardinal Care Medicaid pharmacy formulary at the provided URL to identify changes in covered medications. Update prior authorization requirements and coverage verification processes for affected prescription drugs. Notify providers of any medications that now require prior authorization or have been removed from coverage.