Voluntary Site of Care Redirection Program Drug List
Describes Anthem's voluntary site-of-care redirection program and lists drugs included for potential administration in lower-cost settings (home or infusion suite) instead of outpatient hospital; informs members and providers about program and contact for Member Services.
No material clinical or coverage changes in this revision.
Coverage Criteria
Inclusion of a drug or product on this document does not by itself guarantee that the service will be a covered medical benefit. Certain products or categories may require prior certification or authorization by the plan, and coverage depends on the member’s specific benefit plan and any applicable medical necessity or authorization requirements.
Provider Actions and Contact
Prior authorization may be required
Certain products or categories may require prior certification or authorization by the plan and inclusion on this document is not a guarantee of medical benefit coverage.
- Consult the plan's prior authorization guidelines before scheduling services.
- Failure to obtain required prior authorization may result in claim denial or member financial responsibility.
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