Connecticut
Provider Communications
Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019
Effective for dates of service on or after July 1, 2019, the following drug code from the current clinical guideline will be included in our specialty pharmacy pre-service clinical review process.
Please note: inclusion of NDC code on claims will help expedite claim processing of drugs billed with a not otherwise classified (NOC) code.
Pre-service clinical review of these specialty pharmacy drugs will be managed by AIM Specialty Health® (AIM®), a separate company.
Clinical Guideline |
HCPCS Codes |
NDC Codes |
Drug |
CG-THER-RAD-03 |
A9699, C9408 |
71258-0015-02, 71258-0015-22 |
Azedra® |
Featured In:
April 2019 Anthem Connecticut Provider Newsletter