Ohio
Provider Communications
Anthem expands specialty pharmacy precertification list
Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions, take precedence over these precertification rules and must be considered first when determining coverage. Noncompliance with new requirements may result in denied claims.
HCPCS or CPT® codes |
Medicare Part B drugs |
J0172 |
Aduhelm (aducanumab-avwa) |
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September 2022 Anthem Provider News - Ohio