Designated specialty pharmacies in March 2021
Beginning March 1, 2021, hospitals will be required to obtain select specialty pharmacy medications, administered in the outpatient setting, through the providers participating in the designated specialty network, which includes CVS Specialty. Failure to obtain specialty drugs through the designated specialty pharmacy network may result in claim denials.
The specialty drugs required to be obtained from providers participating in the designated specialty pharmacy network will be posted at anthem.com/providers. This change will not affect the authorization requirements and utilization management oversight currently in place for these specialty drugs.
Any contracted Hospitals interested in becoming a participating provider in Anthem’s designated specialty pharmacy network, must contact the Anthem provider contracting team.
December 2020 Anthem Provider News - Georgia