Clinical Criteria updates for specialty pharmacy

The following Clinical Criteria document was endorsed at the December 21, 2022, Clinical Criteria meeting. Visit our website to access the Clinical Criteria information.

Revised Clinical Criteria effective June 1, 2023

The following Clinical Criteria was revised and might result in services that were previously covered but may now be found to be not medically necessary:

• CC-0072 Vascular Endothelial Growth Factor (VEGF) Inhibitors*

* The applicable policy is attached to this article in PDF format.