On February 21, 2020, May 15, 2020, and June 18, 2020, 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, and the effective dates will be reflected in the  Clinical Criteria Web Posting May 2020 and  Clinical Criteria Web Posting June 2020. Visit Clinical Criteria to search for specific policies.


If you have questions or would like additional information, use this email.



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November 2020 Anthem Blue Cross Provider News - California