Ohio
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Specialty pharmacy updates for March 2023*

*Notice of Material Amendment/Change to contract (MAC)

March 2023 Anthem Provider News - Ohio Pharmacy Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Ohio Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Ohio Pharmacy Mar 1, 2023

Specialty pharmacy updates - February 2023*

*Notice of Material Amendment/Change to contract (MAC)

February 2023 Anthem Provider News - Ohio Pharmacy Feb 1, 2023

Specialty pharmacy updates*

*Notice of Material Amendment/Change to Contract (MAC)
January 2023 Anthem Provider News - Ohio Pharmacy Dec 30, 2022

Specialty pharmacy updates - December 2022*

*Notice of Material Amendment/Change to contract (MAC)
December 2022 Anthem Provider News - Ohio Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Ohio Pharmacy Dec 1, 2022

Specialty pharmacy updates - November 2022

Notice of Material Amendment/Change to Contract (MAC)

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

Pharmacy information available on provider website

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

IngenioRx will become CarelonRx on January 1, 2023

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

Specialty pharmacy updates - October 2022

Notice of Material Amendment/Change to Contract (MAC)
October 2022 Anthem Provider News - Ohio Pharmacy Oct 1, 2022

Specialty pharmacy updates - September 2022*

*Notice of Material Amendment/Change to Contract (MAC)
September 2022 Anthem Provider News - Ohio Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

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

Specialty pharmacy updates - August 2022*

*Notice of Material Amendment/Change to Contract (MAC)
August 2022 Anthem Provider News - Ohio Pharmacy Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Ohio Behavioral Health Aug 1, 2022

Pharmacy information available at anthem.com

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

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Ohio Products & Programs Jul 1, 2022

Pharmacy information available at anthem.com

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

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Notice of Material Amendment/Change to Contract (MAC)
June 2022 Anthem Provider News - Ohio Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022*

*Notice of Material Amendment/Change to Contract (MAC)
June 2022 Anthem Provider News - Ohio Pharmacy Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Ohio Behavioral Health Jun 1, 2022

Specialty pharmacy updates - May 2022*

*Notice of Material Amendment/Change to Contract (MAC)
May 2022 Anthem Provider News - Ohio Pharmacy May 1, 2022

Specialty pharmacy updates - April 2022*

*Notice of Material Amendment/Change to Contract (MAC)
April 2022 Anthem Provider News - Ohio Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates*

*Notice of Material Amendment/Change to Contract (MAC)
April 2022 Anthem Provider News - Ohio Pharmacy Apr 1, 2022

Pharmacy information available at anthem.com

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

Specialty pharmacy updates - March 2022*

*Notice of Material Amendment/Change to Contract (MAC)
March 2022 Anthem Provider News - Ohio Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates*

*Notice of Material Amendment/Change to Contract (MAC)
March 2022 Anthem Provider News - Ohio Pharmacy Mar 1, 2022

Specialty pharmacy updates - February 2022*

*Notice of Material Amendment/Change to Contract (MAC)
February 2022 Anthem Provider News - Ohio Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

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

Specialty pharmacy updates - December 2021*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Pharmacy Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Ohio Products & Programs Dec 1, 2021

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Ohio Products & Programs Dec 1, 2021

Pharmacy information available at anthem.com

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

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Ohio Products & Programs Nov 1, 2021

Specialty pharmacy updates are available - November 2021*

*Notice of Material Amendment/Change to Contract (MAC)
November 2021 Anthem Provider News - Ohio Pharmacy Nov 1, 2021

Important update on Botox for Anthem members

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

Specialty pharmacy updates are available - October 2021*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Pharmacy Oct 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Ohio Products & Programs Oct 1, 2021

Pharmacy information available at anthem.com

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

Updates for specialty pharmacy are available - September 2021*

*Notice of Material Amendment/Change to Contract (MAC)
September 2021 Anthem Provider News - Ohio Pharmacy Sep 1, 2021

Some requests to AIM may require documentation to support prior authorization

August 2021 Anthem Provider News - Ohio Products & Programs Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Pharmacy Aug 1, 2021

Updates for specialty pharmacy are available - August 2021*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Pharmacy Aug 1, 2021

Specialty dose rounding program for certain oncology medications

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

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

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

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

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

Pharmacy information available at anthem.com

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

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Ohio Products & Programs Jul 1, 2021

Reminder: Back Pain Guide program effective July 19, 2021

July 2021 Anthem Provider News - Ohio Products & Programs Jul 1, 2021

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - July 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Certain specialty medication prior authorization requests may require additional documentation*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Notice of changes to prior authorization requirements for Designated Specialty Pharmacy Network

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

Updates for specialty pharmacy are available - June 2021*

*Notice of Material Amendment/Change to Contract (MAC)
June 2021 Anthem Provider News - Ohio Pharmacy Jun 1, 2021

Let’s vaccinate

June 2021 Anthem Provider News - Ohio Products & Programs Jun 1, 2021

Pharmacy information available at anthem.com

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

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

*Notice of Material Amendment/Change to Contract (MAC)
May 2021 Anthem Provider News - Ohio Pharmacy May 1, 2021

Updates for specialty pharmacy are available - May 2021*

*Notice of Material Amendment/Change to Contract (MAC)
May 2021 Anthem Provider News - Ohio Pharmacy May 1, 2021

Pharmacy information available at anthem.com

April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Ohio Behavioral Health Apr 1, 2021

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

April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available - April 2021*

*Notice of Material Amendment/Change to Contract (MAC)
April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

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

*Material Adverse Change (MAC)
March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available - March 2021*

*Material Adverse Change (MAC)
March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Designated specialty pharmacy network*

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available - February 2021*

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Pharmacy information available at anthem.com

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Ohio Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available - January 2021*

January 2021 Anthem Provider News - Ohio Pharmacy Jan 1, 2021

Access requirements for behavioral health care services

December 2020 Anthem Provider News - Ohio Behavioral Health Dec 1, 2020

Prior authorization updates for specialty pharmacy are available - December 2020*

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

Pharmacy information available at anthem.com

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

IngenioRx Introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Ohio Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy are available - November 2020*

November 2020 Anthem Provider News - Ohio Pharmacy Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Ohio Behavioral Health Oct 14, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy are available - October 2020*

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

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

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Pharmacy information available at anthem.com

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

New Blue HPN® network included in plans available for employee open enrollment Fall 2020

October 2020 Anthem Provider News - Ohio Products & Programs Oct 1, 2020

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020*

September 2020 Anthem Provider News - Ohio Products & Programs Sep 1, 2020

Meet your Cancer Care Navigator

Anthem’s new cancer support program helps improve outcomes while easing burdens for you and your patients.
September 2020 Anthem Provider News - Ohio Products & Programs Sep 1, 2020

Predictive analytics guide proactive support to patients undergoing chemotherapy resulting in lowered admissions

September 2020 Anthem Provider News - Ohio Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News - Ohio Pharmacy Sep 1, 2020

Specialty pharmacy updates are available - September 2020*

September 2020 Anthem Provider News - Ohio Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - August 2020*

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Update: New go-live date for level of care medical necessity review of upper and lower endoscopy procedures

July 2020 Anthem Provider News - Ohio Products & Programs Jul 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Ohio Pharmacy Jul 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - July 2020*

July 2020 Anthem Provider News - Ohio Pharmacy Jul 1, 2020

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Behavioral Health Jun 25, 2020

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News - Ohio Products & Programs Jun 1, 2020
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