Georgia
Provider Communications
Anthem expands specialty pharmacy prior authorization list
Please note, inclusion of NDC code on your claim will shorten the claim processing time of drugs billed with a Not Otherwise Classified (NOC) code.
Anthem’s prior authorization clinical review of these specialty pharmacy drugs will be managed by AIM Specialty Health® (AIM), a separate company.
The following clinical guideline will be effective July 1, 2019.
Clinical Guideline |
HCPCS or CPT Code(s) |
NDC Code(s) |
Drug |
CG-THER-RAD-03 |
A9699, C9408 |
71258-0015-02 71258-0015-22 |
Azedra® |
Featured In:
April 2019 Anthem Provider Newsletter - Georgia