Anthem BCBSMedium ImpactCoverage
[New York] Clinical Criteria updates for specialty pharmacy
Published May 3, 2026
AI Summary
Anthem has updated clinical criteria for specialty pharmacy in New York. This likely affects prior authorization requirements, coverage criteria, or documentation standards for specialty medications dispensed through their preferred pharmacy network.
Action Required
Immediately: Review the full policy details at the provided URL to determine specific changes to specialty pharmacy requirements. Check if any current specialty medication prior authorizations need updates and verify preferred pharmacy networks remain current in billing system.
Plan Types
Commercial
States
NY
Specialties
all-specialties