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CommercialPrior AuthMedium impact

[Ohio] Anthem expands specialty pharmacy precertification list

Anthem BCBS·OH·Pharmacy
Effective date
Not stated
We identified it
May 3, 2026
Days to comply
—

Summary

Anthem has expanded their list of specialty pharmacy medications that require precertification before dispensing. This means additional specialty drugs will now need prior authorization approval before patients can receive them from specialty pharmacies.

Action Required

Action needed
Immediately: Check Anthem's updated specialty pharmacy precertification list to identify newly added medications. Update prior authorization workflows to include these additional specialty drugs. Inform providers that new medications may require precertification before prescribing to Anthem patients. Monitor for claim denials on specialty pharmacy prescriptions that lack proper precertification.

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