CurrentAnthemPolicy N/A

California CDI Essential Alternatives Drug List (Español) pdf opens in a new window

A Spanish version (part 2 of 2) of a payer's California CDI Essential Alternatives drug list showing brand-name drugs mapped to excluded alternative products (organized alphabetically). Includes language assistance and nondiscrimination statements. This part contains many drug mapping lines but no explicit coverage criteria, dates, or policy number.

Policy Summary

PayerAnthem

PolicyCalifornia CDI Essential Alternatives Drug List (Español) pdf opens in a new window

Policy CodePolicy N/A

Change TypeInformational (no material change)

Effective Date

Next Review Date

Key ActionReview the Spanish-language essential alternatives list on anthem.com/ca or contact Member Services for coverage, alternatives, or to initiate a prior authorization/exception.

SourceLink

POLICY UPDATE CHANGES

No material changes — this Spanish-language part lists brand drugs mapped to excluded alternatives and preferred alternatives and does not introduce coverage rule changes.

multipleMapped drug entries in this part

1Language assistance section present

noneMaterial change status

Policy type and scope

This document is the Spanish-language portion (part 2 of 2) of the Anthem California CDI Essential Alternatives drug list. It presents mappings of numerous brand-name drugs to one or more excluded alternative products in alphabetical order. This excerpt is informational only and does NOT include formal coverage rules, prior authorization requirements, billing instructions, coverage dates, or a policy number.

Mapped drug-to-excluded-alternative entries (alphabetical excerpt)

The part contains numerous Spanish-language mapping lines (brand drugs followed by one or more alternative/excluded products). Examples and lines appearing in this Spanish-language part include (in original order): "Radicava IV (Brand and Generic)/Suspension" mapped to preferred alternative "riluzole tab"; "Allzital, butalbital-acetaminophen 50-300mg tablet, butalbital-acetaminophen-caffeine 50-325-40mg capsule/ soln" mapped to preferred alternatives including "butalbital-acetaminophen 50-325mg tablet"; "Cambia (Brand and Generic), Combogesic, Coxanto (Brand and Generic), diclofenac potassium 25mg tablet, Elyxyb, fenoprofen..." mapped to preferred alternatives including "celecoxib, diclofenac potassium 50mg tablet, diclofenac sodium tablet..."; "hydrocodone bitartrate er capsule, Hysingla ER, levorphanol 2mg tablet, Nucynta ER, Oxycontin..." mapped to preferred alternatives including "fentanyl patch, hydromorphone er, hydrocodone bitartrate er tablet..."; and many other categories and lines (analgesics, antibióticos, antidiabéticos, agentes para esclerosis múltiple, productos para migraña, dermatológicos, agentes tiroideos, insulinas, anticoagulantes, biologics, etc.).

Language assistance & nondiscrimination — member support

Note

Language Assistance & Nondiscrimination

Tiene el derecho de obtener esta información y ayuda en su idioma de forma gratuita. Llame al número de Servicios para Miembros que figura en la tarjeta de identificación del miembro para obtener ayuda. (TTY/TDD: 711). También ofrecemos formatos alternativos para miembros con discapacidades visuales; para obtener una copia en un formato alternativo, llame al número de servicio al cliente que figura en la tarjeta de identificación. Para asistencia por intérprete u otros servicios de ayuda por idioma, los miembros pueden llamar al mismo número de Servicios para Miembros o iniciar sesión en anthem.com/ca y seleccionar Prescription Benefits para más información.

LLAME al número de Servicios para Miembros en la tarjeta de identificación para recibir ayuda en su idioma (TTY/TDD: 711).
Documentos en formatos alternativos para discapacidades visuales disponibles llamando al servicio al cliente en la tarjeta de identificación.
Información adicional y búsqueda de la Lista de medicamentos esenciales en anthem.com/ca → Prescription Benefits.

Applicable codes

This excerpt does not provide CPT, HCPCS, or NDC billing codes or code groups. For specific billing codes, claim submission guidance, or code group information, consult the main policy, the plan’s billing guidance, or member/provider resources.

Background and document context

Background: This file is the Spanish-language portion of the Anthem California CDI Essential Alternatives drug list and is intended to show mappings of brand-name medications to excluded alternative products as an aid for members and providers. It is organized alphabetically and includes multilingual language assistance and nondiscrimination information. The excerpted part does not include coverage criteria, effective or review dates, or a policy number, and it does not substitute for the full Certificate/Evidence of Coverage or formal plan rules. See the main policy materials or member certificate for definitive coverage and authorization requirements.