Clinical criteria updates
On March 29, 2019, April 12, 2019, and May 1, 2019, the Pharmacy and Therapeutics (P&T) Committee approved Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross. These policies were developed, revised or reviewed to support clinical coding edits.
The Clinical Criteria is publicly available on the provider website (https://mediproviders.anthem.com/ca), and the effective dates will be reflected in the Clinical Criteria web posting Q2 2019. Visit Clinical Criteria to search for specific policies.
For questions or additional information, use this email.
August 2019 Anthem Blue Cross Provider News - California