Wisconsin
Provider Communications

Articles Category: Products & Programs / Pharmacy

Title Publication Category Date

Specialty pharmacy updates for March 2023*

*Material adverse change (MAC)

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

Pharmacy information available on our provider website

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

Specialty pharmacy updates - February 2023*

*Material adverse change (MAC)

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

Specialty pharmacy updates*

*Material adverse change (MAC)
January 2023 Anthem Provider News - Wisconsin Pharmacy Dec 30, 2022

Specialty pharmacy updates - December 2022*

*Material adverse change (MAC)
December 2022 Anthem Provider News - Wisconsin Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

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

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)

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

Pharmacy information available on provider website

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

IngenioRx will become CarelonRx on January 1, 2023

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

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Specialty pharmacy updates - September 2022*

*Material Adverse Change (MAC)
September 2022 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

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

Specialty pharmacy updates - August 2022*

*Material Adverse Change (MAC)
August 2022 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2022

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Specialty pharmacy updates - June 2022*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2022

Specialty pharmacy updates - May 2022*

*Material Adverse Change (MAC)
May 2022 Anthem Provider News - Wisconsin Pharmacy May 1, 2022

Specialty pharmacy updates - April 2022*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

Pharmacy information available at anthem.com

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

Specialty pharmacy updates - March 2022*

*Material Adverse Change (MAC)
March 2022 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates*

*Material Adverse Change (MAC)
March 2022 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2022

Specialty pharmacy updates - February 2022*

*Material Adverse Change (MAC)
February 2022 Anthem Provider News - Wisconsin Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

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

Specialty pharmacy updates - December 2021*

*Material Adverse Change (MAC)
December 2021 Anthem Provider News - Wisconsin Pharmacy Dec 1, 2021

Pharmacy information available at anthem.com

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

Important update on Botox for Anthem members

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

Specialty pharmacy updates are available - November 2021*

*Material Adverse Change (MAC)
November 2021 Anthem Provider News - Wisconsin Pharmacy Nov 1, 2021

Specialty pharmacy updates are available - October 2021*

*Material Adverse Change (MAC)
October 2021 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022*

*Material Adverse Change (MAC)
October 2021 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2021

Pharmacy information available at anthem.com

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

Updates for specialty pharmacy are available - September 2021*

*Material Adverse Change (MAC)
September 2021 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2021

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

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Updates for specialty pharmacy are available - August 2021*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Specialty dose rounding program for certain oncology medications

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

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

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

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

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

Pharmacy information available at anthem.com

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

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

*Material Adverse Change (MAC)
July 2021 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021*

*Material Adverse Change (MAC)
July 2021 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - July 2021*

*Material Adverse Change (MAC)
July 2021 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2021

Certain specialty medication prior authorization requests may require additional documentation*

*Material Adverse Change (MAC)
July 2021 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - June 2021*

*Material Adverse Change and/or Prior Authorization Change (MAC)
June 2021 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates

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

Pharmacy information available at anthem.com

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

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

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

Updates for specialty pharmacy are available - May 2021*

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

Updates for specialty pharmacy are available - April 2021*

*Material Adverse Change (MAC)
April 2021 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2021

Pharmacy information available at anthem.com

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

Designated specialty pharmacy network*

*Material Adverse Change (MAC)
April 2021 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2021

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

April 2021 Anthem Provider News - Wisconsin 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 - Wisconsin Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available - March 2021*

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

Some HIV medication combinations may require prior authorization

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

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

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

Pharmacy information available at anthem.com

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

IngenioRx introduces new pharmacy network in 2021

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

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

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

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

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

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

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

Pharmacy information available at anthem.com

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

IngenioRx Introduces new pharmacy network in 2021

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

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

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

Anthem updates formulary lists for commercial health plan pharmacy benefit

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

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

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

Updated coverage for breast cancer prevention medications

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

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

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

Pharmacy information available at anthem.com

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Specialty pharmacy updates are available - September 2020*

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

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

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

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

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

Pharmacy information available on anthem.com

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

Updated coverage for HIV PrEP medications

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

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

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

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

June 2020 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2020

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*

June 2020 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2020

Pharmacy information available at anthem.com

June 2020 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2020

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

May 2020 Anthem Provider News - Wisconsin Pharmacy May 1, 2020

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

April 2020 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2020

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

COVID-19 Information - Wisconsin – Publication RETIRED as of November 8, 2022 Pharmacy Apr 1, 2020

National Drug Code requirement on outpatient claims*

March 2020 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2020

Pharmacy information available at anthem.com

March 2020 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Wisconsin Pharmacy Feb 1, 2020

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Wisconsin Pharmacy Dec 1, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

November 2019 Anthem Provider News - Wisconsin Pharmacy Nov 1, 2019

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

November 2019 Anthem Provider News - Wisconsin Pharmacy Nov 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2019

Pharmacy information available at anthem.com

October 2019 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

September 2019 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

August 2019 Anthem Provider News - Wisconsin 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 - Wisconsin Pharmacy Aug 1, 2019

Pharmacy information available at anthem.com

August 2019 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2019

Anthem expands specialty pharmacy prior authorization list*

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

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

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