Anthem Prescription Drug Settlement — Grandfathered Rx 2026

Anthem Prescription Drug Settlement — Grandfathered Rx 2026

See details
Max Payout
TBD
Filing Deadline
See Details
Proof Required?
If you were covered under an Anthem health insurance plan and had a claim denied for a brand-name prescription drug, you may be entitled to reimbursement through this class action settlement. Anthem has agreed to reimburse out-of-pocket costs for single-source brand-name drugs that were denied under certain grandfathered health plans. This settlement specifically affects people who were enrolled in Anthem's Core 5000, Tonik, or RightPlan insurance plans. If you paid out of pocket for a brand-name prescription drug that Anthem refused to cover under one of these plans, this settlement could put money back in your pocket. The claims deadline is November 10, 2026, so there's still time to check if you qualify and submit your claim. Read on to find out who's eligible and how to file.

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

Filing your claim is quick and easy:

  • 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
  • Use Class Action Buddy: Download the Class Action Buddy app to get step-by-step help filing your claim, track your submission, and never miss a settlement deadline again

💡 Easier way: File with Class Action Buddy

Skip the paperwork. Our app auto-fills your claim form with your saved profile and submits it electronically in under 2 minutes.

Download for iPhone Download for Android

Frequently Asked Questions

How do I file a claim for the Anthem Prescription Drug Settlement — Grandfathered Rx 2026?

You have two options: (1) Use the free Class Action Buddy mobile app — set up your profile once and the app auto-fills the PDF claim form, captures your signature, and submits the claim by mail on your behalf. (2) File directly with the settlement administrator using the official claim form linked on this page.

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.

Ready to File Your Claim?

We're adding new settlements regularly. Download the app to get notified when this one is available.

Download Class Action Buddy →