Medical drug Clinical Criteria updates

Medicare Advantage

 

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

 

The Clinical Criteria are publicly available on our provider website, and the effective dates will be reflected online. Visit the Clinical Criteria page to search for specific policies.

 

For questions or additional information, send us an email at druglist@anthem.com.