Anthem Prescription Drug Settlement — Grandfathered Rx 2026
By the Class Action Buddy Editorial Team · Last reviewed June 29, 2026
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Who Is Eligible?
You may be eligible to file a claim if you:
- You were enrolled in an Anthem Core 5000, Tonik, or RightPlan health insurance plan
- You had a claim denied for a brand-name (single-source) prescription drug under one of those plans
- You paid out-of-pocket costs for that prescription as a result of the denial
- Your claim falls within the time period covered by the settlement (specific dates pending — check the official settlement website for details)
How Much Can You Get?
The settlement reimburses eligible members for out-of-pocket costs they paid for brand-name single-source prescription drugs that were denied by Anthem under the Core 5000, Tonik, or RightPlan plans. The amount you could receive depends on how much you personally paid out of pocket for those denied prescriptions — so it varies from person to person. Specific maximum payout amounts have not been publicly disclosed at this time. If you have records of denied claims and what you paid, that documentation will likely be important when calculating your reimbursement. Check the official settlement website or use Class Action Buddy for the most up-to-date payout details as they become available.How to File Your Claim
The administrator has not published a claim form for this settlement. The steps below are what filing will involve once one exists.
- Check your eligibility: Confirm you were enrolled in an Anthem Core 5000, Tonik, or RightPlan plan and had a brand-name drug claim denied
- Gather your records: Collect any documentation of the denied prescription claim and out-of-pocket costs you paid — such as Explanation of Benefits (EOB) statements, pharmacy receipts, or denial letters
- Complete the claim form: Fill out the official claim form with details about your denied prescription(s) and the costs you incurred
- Submit before the deadline: Make sure your claim is submitted by November 10, 2026
File this one with the administrator
Class Action Buddy does not file this settlement for you — use the official claim process above. What the app does do is watch the open settlements list and tell you when a new one matches your profile.
Frequently Asked Questions
What is the deadline to file a claim for the Anthem Prescription Drug Settlement — Grandfathered Rx 2026?
The current deadline to file a claim is Nov 10, 2026. Claims sent by mail must be postmarked by this date, so allow about a week for delivery if you are not filing online.
Do I need documentation for the Anthem Prescription Drug Settlement — Grandfathered Rx 2026?
Yes — this settlement requires supporting documentation, and what counts is set out on the official claim form rather than being the same in every case: a consumer case may ask for receipts or order confirmations, while a financial or data-breach case usually turns on account records or the notice the administrator sent you. Note: some settlements still require a Claimant ID or PIN from a mailed notice; if this one does, it will be shown on the official claim form.
How do I file a claim for the Anthem Prescription Drug Settlement — Grandfathered Rx 2026?
File directly with the settlement administrator, using the official claim form linked on this page. Class Action Buddy does not support this settlement in the app, so the administrator’s own claim process is the route. Check whether the form asks for an ID or PIN from the notice you were sent before you start.
What is the Anthem prescription drug settlement about?
Anthem agreed to reimburse members who had brand-name (single-source) prescription drug claims denied under certain grandfathered health plans — specifically the Core 5000, Tonik, and RightPlan plans. If you paid out of pocket for those denied prescriptions, you may be able to get that money back.
What plans are included in the Anthem Grandfathered Rx settlement?
The settlement covers people who were enrolled in Anthem's Core 5000, Tonik, or RightPlan health insurance plans. If you had a different Anthem plan, you likely do not qualify for this particular settlement.
Do I need proof to file an Anthem prescription drug settlement claim?
Because this settlement involves reimbursement for specific denied prescription claims, it's a good idea to gather any documentation you have — such as denial letters, Explanation of Benefits (EOB) statements, or pharmacy receipts. Having records of your out-of-pocket costs will help support your claim.
When is the deadline to file an Anthem Rx settlement claim?
The deadline to submit your claim is November 10, 2026. Be sure to file before that date to make sure you don't miss out on your potential reimbursement.
How much money can I get from the Anthem prescription drug settlement?
The reimbursement amount depends on how much you personally paid out of pocket for brand-name prescription drugs that were denied by Anthem. Specific dollar amounts vary by claimant. Check the official settlement website or the Class Action Buddy app for the latest details.
Primary source: the official settlement administrator’s website named in the court-approved class notice. We track this settlement from public settlement-notice sources; a single official administrator claim URL was not on file, so confirm the details on the official settlement website before you file.
Class Action Buddy is an independent directory and is not affiliated with, endorsed by, or sponsored by the settlement administrator or the court. This page is general information, not legal advice. See how we verify settlements.
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