Category:  Medicare

On June 20, 2019, the Pharmacy and Therapeutic (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 are publicly available on the provider website, and the effective dates will be reflected in the Medical drug Clinical Criteria updates. Visit Clinical Criteria to search for specific policies.


For questions or additional information, use this email.




Featured In:
December 2019 Anthem Provider News - Virginia