Anthem BCBSHigh ImpactPrior Auth
[Virginia] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem in Virginia 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 precertification list at the Anthem Virginia provider portal to identify newly added specialty medications. Update prior authorization workflow to include these medications. Verify precertification status before dispensing or billing for any specialty pharmacy medications to avoid claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties