Wisconsin
Provider Communications

Articles Category: Products & Programs / Pharmacy

Title Publication Category Date

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

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

Updates for specialty pharmacy are available - September 2021*

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

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

Updates for specialty pharmacy are available - July 2021*

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

Updates for specialty pharmacy are available - August 2021*

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

Updates for specialty pharmacy are available - April 2021*

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

Updated coverage for HIV PrEP medications

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

Updated coverage for breast cancer prevention medications

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

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

Update to formulary lists for Commercial health plan pharmacy benefit

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

Update regarding drugs not approved by the FDA

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Specialty pharmacy updates*

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

Specialty pharmacy updates for March 2023*

*Material adverse change (MAC)

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

Specialty pharmacy updates are available - September 2020*

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

Specialty pharmacy updates are available - October 2021*

*Material Adverse Change (MAC)
October 2021 Anthem Provider News - Wisconsin Pharmacy Oct 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 - September 2022*

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

Specialty pharmacy updates - October 2022

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

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)

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

Specialty pharmacy updates - May 2022*

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

Specialty pharmacy updates - March 2022*

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

Specialty pharmacy updates - June 2022*

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

Specialty pharmacy updates - February 2023*

*Material adverse change (MAC)

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

Specialty pharmacy updates - February 2022*

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

Specialty pharmacy updates - December 2022*

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

Specialty pharmacy updates - December 2021*

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

Specialty pharmacy updates - August 2022*

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

Specialty pharmacy updates - April 2022*

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

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

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

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Wisconsin Pharmacy Mar 1, 2019

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Wisconsin Pharmacy Mar 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

Simplifying medication prior authorization processes

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 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

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

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

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

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

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

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

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

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 - February 2021*

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

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

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

Pharmacy information available on the provider website

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

Pharmacy information available on provider website

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

Pharmacy information available on our provider website

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

Pharmacy information available on our provider website

April 2023 Provider News - Wisconsin Pharmacy Mar 31, 2023

Pharmacy information available on anthem.com

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

Pharmacy information available on anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

National Drug Code requirement on outpatient claims*

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

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

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

IngenioRx will become CarelonRx on January 1, 2023

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

IngenioRx introduces new pharmacy network in 2021

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

IngenioRx Introduces new pharmacy network in 2021

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

Important update to Anthem’s commercial drug lists

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

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Wisconsin Pharmacy Mar 1, 2019

Important update on Botox for Anthem members

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

Important reminder regarding specialty pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - Wisconsin Pharmacy Mar 1, 2019

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

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

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

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

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

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Designated specialty pharmacy network*

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

Designated specialty pharmacy network updates*

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

Designated specialty pharmacy network updates effective October 1, 2021*

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

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Wisconsin Pharmacy Jun 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

Correction to February 2022 specialty pharmacy updates*

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Wisconsin Pharmacy Mar 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

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

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

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

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

September 2019 Anthem Provider News - Wisconsin Pharmacy Sep 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

Anthem updates formulary lists for commercial health plan pharmacy benefit

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

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
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