Some drugs, and certain amounts of some drugs, require an approval before they are eligible to be covered by your benefits. This approval process is called prior authorization.
Drug list/Formulary inclusion does not infer a drug is a covered benefit. Please check your schedule of benefits for coverage information.
Attention prescribing providers with members enrolled in an Anthem Colorado health plan: The Colorado Prescription Drug Prior Authorization Request form may be used to submit prior authorization (PA) requests for members enrolled in a Colorado health plan, regardless of residence.The preferred method to submit PA requests is through our electronic PA (ePA) process:
To learn more about required Colorado timelines for decisions regarding PA requests, please click here.
Attention prescribing providers with members enrolled in an Anthem New Hampshire plan: The New Hampshire Prescription Drug Uniform Prior Authorization Request Form may be used to submit PA requests for members enrolled in a New Hampshire plan, regardless of residence. The preferred method to submit PA requests is through our ePA process: