Effective for dates of service on or after January 1, 2019, the following drug codes from new or current medical policies or clinical UM guidelines 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.  


Medical Policy or Clinical UM Guideline


HCPCS or CPT Code(s)

NDC Code



J3490, J3590


Featured In:
October 2018 Anthem Connecticut Provider Newsletter