Anthem BCBSMedium ImpactPrior Auth
[New York] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem has expanded their list of specialty medications requiring precertification before coverage approval. This affects specialty pharmacy claims and may require prior authorization for medications not previously requiring approval.
Action Required
Immediately: Billing and clinical teams must access the updated specialty pharmacy precertification list at the Anthem provider portal to identify newly added medications. Update internal medication lists and alert providers that additional specialty drugs now require prior authorization before prescribing. Verify precertification requirements before dispensing specialty medications to avoid claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties