Electronic submission is preferred method for requesting pharmacy prior authorization

Category: Medicaid

 

This communication applies to the Medicaid and Medicare Advantage programs for Anthem Blue Cross and Blue Shield (Anthem).

 

Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. The online process is faster and easier to complete, and the response is automatic, which helps patients get their medications sooner. You can complete this process through your current electronic health record/electronic medical record (EHR/EMR) system or via the following ePA sites:

• Surescripts®: https://providerportal.surescripts.net/providerportal  
• CoverMyMeds®: https://www.covermymeds.com/main

 

Creating an account is free and takes just a few minutes. If you are experiencing any issues or have a question about how the systems operate:

• For questions or issues with accessing the Surescripts portal, call 1-866-797-3239.
• For questions or issues with accessing the CoverMyMeds portal, call 1-866-452-5017.

 

For questions regarding pharmacy benefits, please contact Provider Services at 1-855-558-1443.