On March 29, 2019, April 12, 2019 and May 1, 2019, the Pharmacy and Therapeutic (P&T) Committee approved clinical criteria applicable to Anthem’s 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 (www.anthem.com/medicareprovider), and the effective dates will be reflected in the clinical criteria Q2 update. Visit clinical criteria to search for specific policies.


For questions or additional information, email to druglist@ingenio-rx.com.



Featured In:
September 2019 Anthem New Hampshire Provider News