Additional drugs added to the specialty pharmacy clinically equivalent drug list effective January 1, 2019

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