Medical Benefit Precertification List
A list of medical-benefit drugs for which precertification (preauthorization) is required for commercial plan members under Anthem's Medical Benefit Drug Review program. The document enumerates drugs and associated HCPCS/CPT/Q-codes but contains no clinical criteria within this file.
No material clinical/coverage changes.
Policy overview
This is an Anthem administrative list of medical-benefit drugs that require precertification under Anthem's Medical Benefit Drug Review program for commercial plan members. The document enumerates drugs and associated HCPCS/CPT/Q-codes for which precertification is required.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.