Category: Medicaid


On March 29, 2019, April 12, 2019, and May 1, 2019, the Pharmacy and Therapeutic (P&T) Committee approved changes to Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross and Blue Shield Healthcare Solutions. These policies were developed, revised or reviewed to support clinical coding edits.


The Clinical Criteria is publicly available on our provider website (, and the effective dates will be reflected in the Clinical Criteria Q2 web posting. Visit Clinical Criteria to search for specific policies.


For questions or additional information, use this email.



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November 2019 Anthem Provider News and Important Updates - Nevada