Maine
Provider Communications

Articles Category: Products & Programs / Pharmacy

Title Publication Category Date

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Important update on Botox® for Anthem members

November 2021 Anthem Maine Provider News Pharmacy Nov 1, 2021

Commercial drug list important updates

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Certain specialty medication precertification requests may require additional documentation

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Specialty pharmacy updates - November 2021

November 2021 Anthem Maine Provider News Pharmacy Nov 1, 2021

Pharmacy information available on anthem.com

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Clinical criteria updates for specialty pharmacy

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Prior authorization updates for specialty pharmacy effective October 1, 2021

July 2021 Maine Provider News Pharmacy Jul 1, 2021

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Specialty pharmacy updates

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Reminder: National drug code required for professional and facility outpatient claims effective December 16, 2020

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Specialty pharmacy updates - December 2022

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Prior authorization updates for specialty pharmacy effective March 1, 2021

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Specialty pharmacy updates - September 2022

Notice of material change/amendment to contract
September 2022 Anthem Maine Provider News Pharmacy Sep 1, 2022

Formulary lists updated for Anthem commercial health plan pharmacy benefit

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Prior authorization updates for specialty pharmacy effective November 1, 2020

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
September 2022 Anthem Maine Provider News Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Maine Provider News Pharmacy Sep 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Clinical criteria updates for specialty pharmacy

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Specialty pharmacy updates - November 2022

Notice of material change/amendment to contract

November 2022 Provider Newsletter - Maine Pharmacy Nov 1, 2022

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Clinical criteria updates for specialty pharmacy

Notice of Material Change/Amendment to Contract
July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Pharmacy Feb 1, 2023

Prior authorization requests for prescription medications accepted online

June 2018 Maine newsletter Pharmacy Jun 19, 2018

Specialty pharmacy updates - February 2023

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Pharmacy Feb 1, 2023

Pharmacy information available on anthem.com

June 2018 Maine newsletter Pharmacy Jun 22, 2018

Specialty pharmacy updates - June 2022

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Pharmacy Jun 1, 2022

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Pharmacy information available online

July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy prior authorization list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Prior authorization requests for prescription medications accepted online

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy pre-service clinical review list expanded January 1, 2019

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Formulary lists updated for commercial health plans

February 2020 Anthem Maine Provider News Pharmacy Feb 1, 2020

Specialty pharmacy clinically equivalent drug list expanded effective January 1, 2019

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Prior authorization updates for specialty pharmacy effective September 1, 2020

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Specialty pharmacy level of care (clinical site of care) drug list expanded effective January 1, 2019

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Clinical criteria updates for specialty pharmacy

February 2020 Anthem Maine Provider News Pharmacy Feb 1, 2020

Pharmacy information available on anthem.com

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy medical step therapy drug list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available on anthem.com

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Clinical criteria updates for specialty pharmacy

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

Specialty pharmacy updates - December 2021

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Prior authorization updates for specialty pharmacy effective July 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on anthem.com

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

Specialty pharmacy updates - April 2022

Notice of material change/amendment to contract
April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Update regarding drugs not approved by the FDA

January 2019 Anthem Maine Provider Newsletter Pharmacy Jan 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on the provider website

December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Specialty dose rounding program for certain oncology medications

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Specialty pharmacy updates

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Pharmacy Dec 30, 2022

Prior authorization updates for specialty pharmacy effective October 1, 2020

July 2020 Anthem Maine Provider News Pharmacy Jul 1, 2020

Specialty dose rounding program for certain non-oncology medications effective August 1, 2021

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program begins August 1, 2021

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Anthem to delay most April 1 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - Maine Pharmacy Apr 1, 2020

Site of care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Clinical criteria updates for specialty pharmacy

July 2020 Anthem Maine Provider News Pharmacy Jul 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Certain HIV medication combinations may require prior authorization

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Correction to February 2022 specialty pharmacy updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy updates

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Specialty pharmacy updates - March 2022

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Specialty pharmacy updates effective July 1, 2020

April 2020 Anthem Maine Provider News Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2020 Anthem Maine Provider News Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018
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