State & FederalMedicaidNovember 30, 2019

Medical drug Clinical Criteria updates

This communication applies to the Medicaid, Medicare Advantage and MMP programs for Anthem Blue Cross (Anthem).

 

On June 20, 2019, the Pharmacy and Therapeutic (P&T) Committee approved Clinical Criteria applicable to the medical drug benefit for Anthem. These policies were developed, revised or reviewed to support clinical coding edits.

 

The Clinical Criteria are publicly available on the provider website, and the effective dates will be reflected in the link to web posting. Visit Clinical Criteria to search for specific policies.

 

For questions or additional information, use this email.

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