Anthem Blue Cross and Blue Shield in Virginia and affiliate HealthKeepers, Inc. will expand our specialty pharmacy clinically equivalent drug list. 

 

Effective for dates of service on and after January 1, 2019, the following specialty pharmacy codes from new or current coverage guidelines or clinical utilization management (UM) guidelines will be included in our existing specialty pharmacy clinically equivalent review process defined by CG-DRUG-64, FDA Approved Biosimilar Products.

 

 

Clinical UM Guideline

Drug

HCPCS or CPT Code

CG-DRUG-09

Cuvitru

 

Hizentra

 

HyQvia

J1555

 

J1559

 

J1575

 

 




 



Featured In:
October 2018 Anthem Provider Newsletter - Virginia