Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification list
Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions, take precedence over these precertification rules and must be considered first when determining coverage. Noncompliance with new requirements may result in denied claims.
|HCPCS or CPT® codes||Medicare Part B drugs|
September 2022 Anthem Provider News and Updates - Colorado