Anthem Brand Name Drugs Denial of Coverage Settlement
Up to $8,850
Last verified September 15, 2026Source: claimdepotHow ClaimWatch verifies cases
What happened
Anthem denied coverage or applied deductibles to brand name (single source) prescription drugs for members with Core 5000, Tonik DN14, Tonik DN15, or RightPlan plans that should have covered these drugs as generic. The settlement requires Anthem to reimburse out-of-pocket expenses for denied brand name drugs and refund deductibles improperly charged. Anthem admits no wrongdoing.
Do you qualify?
Anyone who was covered under Anthem's Core 5000, Tonik DN14, Tonik DN15, or RightPlan (with generic prescription drug coverage) and paid out of pocket for a brand name (single source) prescription drug between January 1, 2017 and May 8, 2026, where the prescription would have been covered under the plan if not for its brand name status. Also, anyone charged the $8,850 deductible for brand name prescription drug coverage.
What you can claim
Read from the official settlement notice. Confirm the terms that apply to you on the administrator's site before filing.
Deductible refund for brand name drug coverage
$8,850 eachAll insureds who were required to pay all or a portion of the $8,850 deductible for coverage of brand name prescription drugs will receive a refund of the deductible paid without needing to submit a claim form.
Who is in the class
If you or someone who was covered under Anthem's Core 5000, Tonik DN14, Tonik DN15 or RightPlan (with generic prescription drug coverage) paid out of pocket for a brand name (single source) prescription drug between January 1, 2017 and May 8, 2026, and the prescription would have otherwise been covered under your health plan (in other words, if it was denied solely because it was a brand name (single source) product)
Quoted from the settlement notice.
How to file
Submit a completed claim form with all required supporting documentation postmarked no later than November 10, 2026. Members charged the $8,850 deductible will automatically receive a refund starting May 22, 2026 without needing to submit a claim form.
Common questions
- How much does the Anthem Brand Name Drugs Denial of Coverage Settlement pay?
- Estimated payout: Up to $8,850. Actual amounts depend on how many valid claims are filed — most settlements divide a fixed fund pro rata, so a higher claim rate means a smaller individual check. An "up to" figure is a cap, not a guarantee.
- What is the claim deadline for the Anthem Brand Name Drugs Denial of Coverage Settlement?
- The claim deadline is November 10, 2026. Filing is free and is done on the official settlement website at grandfatheredrxsettlement.com.
- Do I need proof of purchase for the Anthem Brand Name Drugs Denial of Coverage Settlement?
- Yes. This settlement asks for documentation supporting your claim — a receipt, an account record, or the notice you were sent. Check the official settlement website for exactly which documents are accepted.
- Is the Anthem Brand Name Drugs Denial of Coverage Settlement notice real, or a scam?
- Claims are filed at grandfatheredrxsettlement.com. Filing a class action claim is always free — no legitimate settlement charges you to claim, and no administrator will ask for payment, a gift card, or your full Social Security number by email or text. If a notice asks for any of those, it is not from the administrator. When in doubt, ignore the link you were sent and go to the official settlement website directly.
- How long until I get paid from the Anthem Brand Name Drugs Denial of Coverage Settlement?
- Class action payouts typically take 12 to 24 months after the claim deadline, and longer if the settlement is appealed. Payments cannot be issued until the court grants final approval and any appeals are resolved.
- What happens if I do nothing?
- You receive no payment, and in most class actions you also give up the right to sue Anthem separately over these same claims.
New to class actions?
This summary was generated from public settlement documents and may contain errors. Confirm eligibility, deadlines, and payment terms on the official settlement website before filing. ClaimWatch is not a law firm and this is not legal advice. Filing a claim is free.