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. Our electronic PA (ePA) process through Cover My Meds is the preferred method to submit PA requests. 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 for all members enrolled in a New Hampshire plan, regardless of residence. Due to state law, the New Hampshire Prescription Drug Uniform Prior Authorization Request Form MUST be used, or we will not be able to review your request for authorization. Our ePA process through Cover My Meds is the preferred method to submit PA requests. The drug specific criteria and forms found within the (Searchable) lists on the Drug List Search tab are for informational purposes only to assist you in completing the New Hampshire Prescription Drug Uniform Prior Authorization Request Form if they are helpful to you. 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