Nevada
Provider Communications
Prior authorization required for specialty pharmacy -- May
Visit the Clinical Criteria website to search for specific clinical criteria. Please note, these codes are specific to Agents for Iron Deficiency Anemia. The Clinical Criteria indicated below can be found at: https://www.anthem.com/ms/pharmacyinformation/Agents-for-Iron-Deficiency-Anemia.pdf.
Clinical Criteria |
HCPCS or CPT® code(s) |
Drug |
ING-CC-0182 |
J1756 |
Venofer |
ING-CC-0182 |
J2916 |
Ferrlecit |
ING-CC-0182 |
J1750 |
Infed |
ING-CC-0182 |
J1439 |
Injectafer |
ING-CC-0182 |
Q0138 |
Feraheme |
ING-CC-0182 |
J1437 |
Monoferric |
If you have questions about this communication or need further assistance, 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