Anthem BCBSMedium ImpactPrior Auth
[California] Expansion of the specialty pharmacy precertification list
Published May 3, 2026
AI Summary
Anthem has expanded their specialty pharmacy precertification list in California, adding more medications that require prior authorization before dispensing. This affects billing for specialty drugs and may delay patient treatment if precertification is not obtained.
Action Required
Immediately: Billing and clinical staff must access the updated specialty pharmacy precertification list at the provided URL to identify newly added medications. Update prior authorization workflows to include these new drugs. Verify precertification status before prescribing or billing for specialty medications to avoid claim denials and patient access delays.
Plan Types
Commercial
States
CA
Specialties
all-specialties