Medical drug Clinical Criteria updates

Category: Medicaid

 

This communication applies to the Medicare Advantage, and Medicaid programs in Kentucky.

 

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

 

The Clinical Criteria are publicly available on the provider website, and the effective dates will be reflected in the link to web posting. Visit Clinical Criteria to search for specific policies.

 

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