Virginia
Provider Communications
Clinical Criteria updates for specialty pharmacy are available
For Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc., prior authorization of these specialty pharmacy drugs will be managed by Anthem. Drugs used for the treatment of oncology will still require prior authorization by Carelon Medical Benefits Management, Inc.,* a separate company. This applies to members with Preferred Provider Organization (PPO), Anthem HealthKeepers (HMO), POS AdvantageOne, and Act Wise (CDH) plans.
Access the Clinical Criteria document information.
CC-0029 |
Dupixent (dupilumab) |
CC-0228 |
Leqembi (lecanemab) |
Featured In:
March 2023 Anthem Provider News - Virginia