CommercialPrior AuthMedium impact
[California] Anthem expands specialty pharmacy precertification list
Anthem BCBS·CA · Oncology, Rheumatology, Neurology +4 more·Pharmacy
We identified it
May 3, 2026
Summary
Anthem has expanded their list of specialty pharmacy medications that require precertification before dispensing. This means more specialty drugs will now need prior authorization approval before patients can receive them, potentially affecting treatment timelines and requiring additional administrative work.
Action Required
Immediately: Review the expanded precertification list on Anthem's provider portal. Update office procedures to verify precertification requirements for all specialty pharmacy medications before prescribing. Train clinical staff to check authorization status and obtain precerts when needed. Inform patients about potential delays in specialty medication access.