On November 15, 2019, the Pharmacy and Therapeutics (P&T) Committee approved clinical criteria applicable to the medical drug benefit for Anthem Blue Cross and Blue Shield (Anthem) and AMH Health, LLC (AMH Health). These policies were developed, revised or reviewed to support clinical coding edits.


The clinical criteria is publicly available on the provider websites, and the effective dates will be reflected in the Clinical Criteria Web Posting November 2019 (Anthem) and Clinical Criteria Web Posting November 2019 (AMH Health). Visit Clinical Criteria to search for specific policies.


For questions or additional information, use this email.




Featured In:
April 2020 Anthem Maine Provider News