Medical drug benefit clinical criteria updates
On November 15, 2019, and February 21, 2020, the Pharmacy and Therapeutics (P&T) Committee approved clinical criteria applicable to the medical drug benefit medical drug benefit for Anthem and AMH Health, LLC. These policies were developed, revised or reviewed to support clinical coding edits.
The clinical criteria is publicly available on the Anthem provider website, and the effective dates will be reflected in the Clinical Criteria Web Posting February 2020 (Anthem) and the Clinical Criteria Web Posting February 2020 (AMH Health). Visit Clinical Criteria to search for specific policies.
For questions or additional information, use this email.
July 2020 Anthem Maine Provider News