Indiana
Provider Communications
New specialty pharmacy medical step therapy requirements
Clinical Criteria is publicly available on our provider website. Visit the Clinical Criteria website to search for specific clinical criteria.
Clinical Criteria |
Status |
Drug(s) |
HCPCS codes |
ING-CC-0075 ING-CC-0167 |
Preferred |
Riabni |
Q5123 |
ING-CC-0075 ING-CC-0167 |
Non-Preferred |
Rituxan |
J9312 |
ING-CC-0075 ING-CC-0167 |
Non-preferred |
Ruxience |
Q5119 |
ING-CC-0075 ING-CC-0167 |
Non-preferred |
Truxima |
Q5115 |
What if I need assistance?
If you have questions about this communication or need assistance with any other item, contact your assigned Provider Experience associate or call Provider Services at:
- Hoosier Healthwise: 866-408-6132
- Healthy Indiana Plan: 844-533-1995
- Hoosier Care Connect: 844-284-1798
Featured In:
May 2022 Anthem Provider News - Indiana