MedicaidMarch 31, 2020
Medical drug benefit Clinical Criteria updates (November 2019)
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
On November 15, 2019, the Pharmacy and Therapeutics (P&T) Committee approved Clinical Criteria applicable to the medical drug benefit for Empire BlueCross BlueShield HealthPlus. These policies were developed, revised or reviewed to support clinical coding edits.
The Clinical Criteria is publicly available on the provider websites, and the effective dates will be reflected in the Clinical Criteria Web Posting November 2019. Visit Clinical Criteria to search for specific policies.
For questions or additional information, use this email.*
* IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Empire BlueCross BlueShield HealthPlus.
PUBLICATIONS: April 2020 Empire Provider News
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