Anthem BCBSMedium ImpactPrior Auth
[Virginia] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem has expanded their list of specialty medications that require precertification before dispensing. This means additional specialty drugs now need prior authorization approval before patients can receive them from specialty pharmacies.
Action Required
Immediately: Billing team should access the updated precertification list at the Anthem provider portal to identify newly added specialty medications. Update prior authorization workflows to include these additional drugs. Notify providers to check authorization requirements before prescribing specialty medications to Anthem patients to avoid patient access delays and potential claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties