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CommercialMedicare AdvantageJune 6, 2025
National Drug Codes (NDCs) are required for outpatient claimsCommercialJune 2, 2025
Specialty pharmacy updates: June 2025CommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider websiteMedicare AdvantageMay 22, 2025
New specialty pharmacy medical step therapy requirementsEffective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili
Medicare AdvantageApril 18, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Medicare AdvantageApril 18, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
CommercialMarch 27, 2025
Specialty pharmacy updates — April 2025Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsMedicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptionsEffective April 1, 2025
CommercialFebruary 1, 2025
Pharmacy information available on our provider websiteCommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025Medicare AdvantageJanuary 1, 2025
Kroger Specialty Pharmacy acquisitionMedicare AdvantageDecember 31, 2024
Important information about specialty prescriptionsCommercialDecember 27, 2024
Weight management program overviewMedicare AdvantageDecember 23, 2024
Specialty pharmacy precertification list expansionEffective March 1, 2025
Medicare AdvantageDecember 23, 2024
Specialty Pharmacy Precertification and Step Therapy list expansionEffective April 1, 2025
Medicare AdvantageDecember 16, 2024
Shortage of repackaged bevacizumab for ophthalmic useCommercialDecember 1, 2024
Pharmacy information available onlineCommercialDecember 1, 2024
Kroger Specialty Pharmacy acquisitionCommercialDecember 1, 2024
Paragon Healthcare joins our medical specialty pharmacy provider network in 2025MedicaidNovember 22, 2024
Reminder: take action to protect infants from respiratory syncytial virus this seasonCommercialNovember 18, 2024
Specialty pharmacy updates — December 2024Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Medicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsCommercialOctober 24, 2024
Specialty pharmacy updates — November 2024Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialOctober 1, 2024
Pharmacy information available on our provider websiteMedicaidSeptember 19, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Amtagvi, iDoseTR, and Nexobrid
MedicaidSeptember 19, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Alyglo, Simlandi, and Winrevair
CommercialSeptember 16, 2024
Specialty pharmacy updates — October 2024Medicare AdvantageSeptember 1, 2024
Real-time prescription benefitCommercialSeptember 1, 2024
Pharmacy information available on our provider websiteMedicare AdvantageAugust 27, 2024
Anthem expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
CommercialAugust 26, 2024
Specialty pharmacy updates — September 2024CommercialJuly 25, 2024
Specialty pharmacy updates — February 2024Note: This article corrects the Clinical Criteria for Spravato (esketamine), which was incorrectly listed in a February 2024 article.
CommercialJuly 1, 2024
Correction: Specialty pharmacy updates — July 2024MedicaidJune 26, 2024
Prior authorization updates for medications billed under the medical benefitMedicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listMedicaidJune 20, 2024
Prior authorization updates for medications billed under the medical benefitColumvi, Izervay, Rystiggo, Vyvgart Hytrulo, and Eylea HD
MedicaidJune 18, 2024
Prior authorization updates for medications billed under the medical benefitElrexfio, Ngenla, Pombiliti, Talvey, Tyruko, Veopoz, and Ycanth
Medicare AdvantageJune 1, 2024
Addressing medication adherence gapsCommercialJune 1, 2024
Pharmacy information available on our provider websiteMedicare AdvantageJune 1, 2024
Improving patient outcomes with statin therapy in diabetesCommercialApril 24, 2024
Specialty pharmacy updates — May 2024CommercialApril 9, 2024
Acquisition of Paragon HealthcareMedicaidApril 9, 2024
Prior authorization updates for medications billed under the medical benefitElfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz
Medicare AdvantageApril 8, 2024
Anthem expands specialty pharmacy precertification listMedicare AdvantageApril 5, 2024
CarelonRx, Inc. Mail changed to CarelonRx Pharmacy on January 1, 2024