Rx Prior Authorization

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:

Requests can also be submitted by phone or fax as needed:

  • Commercial
    • Phone: 833-293-0659
    • Fax: 844-521-6939
  • On Exchange
    • Phone: 833-293-0660
    • Fax: 844-534-9057
 
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:

Requests can also be submitted by phone or fax as needed:

  • Commercial
    • Phone: 833-293-0659
    • Fax: 844-474-3355
  • On Exchange
    • Phone: 833-293-0660
    • Fax: 844-474-6224