CommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider website
We ask care providers to periodically review the pharmacy information available on our provider website for new or updated information. Staying updated on changes gives our members the best access to the highest quality care. Visit anthem.com/pharmacy-information for more information about:
- Copay or coinsurance requirements and their applicable drug classes.
- Drug lists and changes.
- Preapproval criteria.
- Procedures for generic substitution.
- Therapeutic interchange.
- Step therapy or other management methods subject to prescribing decisions.
- Other requirements, restrictions, or limitations for using certain drugs.
The commercial and exchange drug lists are posted to the website quarterly on the first day of the month in January, April, July, and October.
Visit carelonrx.com/solutions/providers for information on submitting a preapproval request or an exception request for a drug not on a drug list.
Federal Employee Program pharmacy updates and other pharmacy‑related information can be accessed at fepblue.org > Pharmacy Benefits.
If you do not have internet access, contact Provider Services via the number on the back of our member ID card to request a copy of the pharmaceutical information available online.
Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
CPN81432, MULTI-BCBS-CM-082674-25, CPN83672, MULTI-BCBS-CM-084709-25
PUBLICATIONS: June 2025 Provider Newsletter
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