Anthem Blue Cross

Providers - California

Pharmacy Information


Pharmacy information for providers including contact information and formulary details can be found below.

Pharmacy contact information

Pharmacy prior authorization

Pharmacy Prior Authorization Center for Medi-Cal Managed Care (Medi-Cal) and Major Risk Medical Insurance Program (MRMIP):


Hours: Monday through Friday from 7 a.m. to 7 p.m. PT
 

Phone:

1-844-410-0746

Fax:

1-844-474-3345

Pharmacy Prior Authorization Center for Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan):


Phone:

1-855-817-5786

Fax:

1-800-359-5781

Note: For Synagis or other medical injectable drug prior authorizations, please call 1-866-323-4126.

Pharmacy Benefits Manager


To verify pharmacy network participation or Anthem Blue Cross (Anthem) drug coverage, please call the Pharmacy Benefits manager:
 

Phone:

1-800-700-2533

TTY:

1-888-757-6034

IngenioRx* help for pharmacists


Hours: Monday through Friday 5 a.m. to 10 p.m. PT; Saturday through Sunday from 6 a.m. to 3 p.m. PT

Phone:

1-833-253-4454

How to use the Anthem Formulary

The Anthem Formulary lists the brand name or generic name of a given drug. If a medication does not appear on this formulary, a prescription drug prior authorization form will need to be completed by the prescriber and submitted to Anthem before the prescription may be filled.

Use the searchable formulary to search by drug name or disease category.

 

Where to get prescriptions filled

Prescriptions can be filled at more than 5,000 retail pharmacies in California, and a listing of these pharmacies (pharmacy network) can be found in our Provider Directories.

Medical injectables

Office-based injectables:

  • Drugs requiring the assistance of a medical professional (office-based injectables) are not covered under the pharmacy benefit. 
  • Medically necessary office-based injectables are covered under the major medical benefit.

Please refer to the Provider Manual for more details on medical coverage:

Provider tools & resources

Interested in becoming a provider in the Anthem network?

We look forward to working with you to provide quality services to our members.