MedicaidSeptember 1, 2019
Medical drug clinical criteria updates
On February 22, 2019, and March 14, 2019, the Pharmacy and Therapeutic (P&T) Committee approved changes to 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 Q1 web posting. Visit Clinical Criteria to search for specific policies.
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Visit https://providernews.anthem.com/california/articles/medical-drug-clinical-criteria-updates-1-3186
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