Wisconsin
Provider Communications

Articles Category: Products & Programs / Pharmacy

Title Publication Category Date

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

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

Clinical Criteria coding updates for specialty pharmacy are available

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

Pharmacy information available at anthem.com

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

Clinical criteria updates for specialty pharmacy

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

Specialty pharmacy updates for March 2023*

*Material adverse change (MAC)

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

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Wisconsin Pharmacy Jun 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

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

Pharmacy information available at anthem.com

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

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

Updated coverage for HIV PrEP medications

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

Pharmacy information available at anthem.com

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

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

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

Access patient-specific drug benefit information through EMR

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

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

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

Anthem prior authorization updates for specialty pharmacy are available - June 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

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 2023*

*Material adverse change (MAC)

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

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

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

IngenioRx will become CarelonRx on January 1, 2023

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

Some HIV medication combinations may require prior authorization

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

Specialty pharmacy updates - February 2022*

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

Anthem updates formulary lists for commercial health plan pharmacy benefit

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

Pharmacy information available on anthem.com

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

Specialty pharmacy updates - October 2022

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

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

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

Pharmacy information available on provider website

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

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

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

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

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

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

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

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

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

Anthem expands specialty pharmacy prior authorization list*

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

Pharmacy information available at anthem.com

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

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

Updates for specialty pharmacy are available - May 2021*

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

Pharmacy information available at anthem.com

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

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema*

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

Pharmacy information available at anthem.com

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

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

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

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

Designated specialty pharmacy network updates effective October 1, 2021*

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

Updated coverage for breast cancer prevention medications

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

Updates for specialty pharmacy are available - July 2021*

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

Pharmacy information available on the provider website

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

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

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 - September 2021*

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

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

April 2020 Anthem Provider News - Wisconsin 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

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)

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

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

Update to formulary lists for Commercial health plan pharmacy benefit

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

Simplifying medication prior authorization processes

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Update regarding drugs not approved by the FDA

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

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

Specialty pharmacy updates - September 2022*

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

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy Information Available at anthem.com

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available at anthem.com

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

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

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

Specialty pharmacy updates - December 2022*

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

Specialty pharmacy updates*

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

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

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

Pharmacy information available on our provider website

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

Specialty pharmacy updates are available - November 2021*

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

Important update on Botox for Anthem members

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2020
Page 1 of 2 Next Page