Nevada
Provider Communications

Articles Category: Products & Programs / Pharmacy

Title Publication Category Date

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Nevada Pharmacy Nov 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

October 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Nevada Pharmacy Jul 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Pharmacy Jun 1, 2022

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

May 2022 Anthem Provider News - Nevada Pharmacy May 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

Drug fee schedule update

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

April 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

March 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News - Nevada Pharmacy Jan 1, 2022

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Nevada specialty pharmacy updates (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Pharmacy Sep 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

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

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

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

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

Updates for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

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

April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Mar 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Designated specialty pharmacy network (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Anthem to update formulary list for commercial health plan pharmacy benefit

February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Jan 1, 2021

IngenioRx Introduces New Pharmacy Network in 2021

January 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used -- New Molecular Entities (NMEs)

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
July 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jul 1, 2020

Updated Coverage for HIV PrEP medications

July 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jul 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
June 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jun 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy May 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2020

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

March 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Mar 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News and Important Updates - Nevada Pharmacy Feb 1, 2020

Pharmacy information available on anthem.com

December 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Dec 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Anthem expands specialty pharmacy prior authorization list (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Sep 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

Pharmacy information available on anthem.com

August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Jul 1, 2019

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Important Updates - Nevada Pharmacy Jun 1, 2019

Anthem Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Anthem Provider Newsletter - Nevada Pharmacy Jun 1, 2019

Pharmacy information available at anthem.com

June 2019 Anthem Provider Newsletter - Nevada Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Nevada Pharmacy May 1, 2019

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

May 2019 Anthem Provider Newsletter - Nevada Pharmacy May 1, 2019

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Nevada Pharmacy Apr 1, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Nevada Pharmacy Apr 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

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

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019
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