On December 18, 2019, and December 23, 2019, the Pharmacy and Therapeutics (P&T) Committee approved Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross and Blue Shield. 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 December 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 HealthKeepers, Inc.


ABSCRNU-0130-20      508037MUPENMUB

Featured In:
April 2020 Anthem Provider News - Virginia