Anthem, now operating under the parent company Elevance Health, is one of the largest BCBS affiliates and uses IngenioRx as its pharmacy benefits manager. Anthem's 2026 formulary applies across its commercial, Medicare, and Medicaid plans, though specific drug lists vary by plan type and state. Anthem has been expanding its value-based formulary options that prioritize generics and biosimilars.

Key Facts

IngenioRx manages Anthem's pharmacy benefits, including formulary decisions and prior authorization
Anthem uses a 4 to 5-tier system depending on plan: Generic, Preferred Brand, Non-Preferred, Specialty, and sometimes a Preventive tier at $0
Anthem operates in 14 states under various BCBS brand names
The 2026 formulary increased biosimilar preferences, potentially lowering costs for biologic users
Sydney Health app provides real-time formulary lookup and pharmacy cost comparison
Mail-order through IngenioRx Home Delivery offers savings on 90-day supplies

Open Enrollment Reminder

ACA marketplace enrollment runs November 1 to January 15. Medicare Annual Enrollment is October 15 to December 7. Compare formularies for your medications before choosing a plan.

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Coverage varies by plan. Use our formulary checker tool to look up your exact copay and restrictions.

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Frequently Asked Questions

Is Anthem the same as Blue Cross Blue Shield?

Anthem is a BCBS licensee operating in 14 states. It uses the Blue Cross and Blue Shield brand names in most of its markets. While it follows some BCBS national standards, its formulary is independently managed by IngenioRx. Other BCBS companies in other states have their own separate formularies.

How do I submit a formulary exception with Anthem?

Your doctor can submit a formulary exception request through the Availity provider portal or by fax. You will need clinical documentation explaining why the requested drug is medically necessary and why formulary alternatives are not appropriate. Anthem responds within 72 hours for standard requests.

Does Anthem cover GLP-1 medications for weight loss?

Coverage varies by plan. Some Anthem employer plans are beginning to cover FDA-approved weight loss GLP-1s like Wegovy and Zepbound with prior authorization and medical necessity documentation. Medicare and most individual market plans generally do not cover weight loss drugs under current rules.

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