Anthem BCBSMedium ImpactPrior Auth
[California] Anthem expands specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem has expanded their specialty pharmacy precertification list, adding new medications that now require prior authorization before dispensing. This affects billing for specialty pharmacy claims as additional drugs now need approval before coverage.
Action Required
Immediately: Review the expanded precertification list on Anthem's provider portal to identify newly added specialty medications. Update prior authorization workflow to include these medications. Notify providers of new requirements to prevent prescription delays and claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties