Important changes to Anthem Blue Cross’ specialty pharmacy clinical site of care

Effective immediately, CG-DRUG 47 Level of Care was removed from the Specialty Pharmacy Clinical Site of Care > Specialty Pharmaceuticals list. In addition, the following Specialty Pharmacy codes will be removed from our existing Specialty Pharmacy level of care review process.

Medical Policy or Clinical Guideline	Drug	Code
CG-DRUG-100  (converted from DRUG.00084)	Interferon gamma-1b (Actimmune®)	J9216
DRUG.00086	Mecasermin (Increlex®)	J2170
CG-DRUG-60	Degarelix (Firmagon®)	J9155