Nevada
Provider Communications
Iron Infusion Medical Step Therapy Notice
Clinical Criteria |
Status |
Drug(s) |
HCPCS codes |
ING-CC-0182 |
Preferred |
Infed |
J1750 |
ING-CC-0182 |
Preferred |
Venofer |
J1756 |
ING-CC-0182 |
Preferred |
Ferrlecit |
J2916 |
ING-CC-0182 |
Nonpreferred |
Injectafer |
J1439 |
ING-CC-0182 |
Nonpreferred |
Feraheme |
Q0138 (non-ESRD use) |
ING-CC-0182 |
Nonpreferred |
Monoferric |
J1437 |
The Clinical Criteria is publicly available on our provider website. Visit https://www.anthem.com/ms/pharmacyinformation/Agents-for-Iron-Deficiency-Anemia.pdf for the specific Clinical Criteria.
What if I need assistance?
If you have questions about this communication or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-844-396-2330.
Featured In:
April 2021 Anthem Provider News and Important Updates -- Nevada