Anthem Blue Cross and Blue Shield Medicaid (Anthem) has a list of drugs providers can choose from called a Preferred Drug List (PDL). The PDL includes all medications covered by Medicaid.

Providers may need to get approval from Anthem for certain drugs. This is known as prior authorization. The request should include why a specific drug is needed and how much is needed. If prior authorization is required, providers must get approval from Anthem before a prescription can be filled.

When the generic drug is available, the generic will be covered, and requests for brand name drugs will need prior authorization.

Medicaid Searchable Formulary

Pharmacy Prior Authorization Policy