Medical drug clinical criteria updates
On February 22, 2019 and March 14, 2019, the Anthem Pharmacy and Therapeutics (P&T) Committee approved changes to clinical criteria applicable to the medical drug benefit. These policies were developed, revised or reviewed to support clinical coding edits.
The clinical criteria is publicly available on the provider website, and the effective dates will be reflected in the Clinical Criteria Q1 web posting. Visit Clinical Criteria to search for specific policies.
For questions or additional information, use this email.
October 2019 Anthem Maine Provider News