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Introducing a New Clinical Criteria Webpage for Injectable, Infused or Implanted Drugs Covered Under the Medical Benefit

January 24, 2019

Beginning March 1, 2019, providers will be able to view the Clinical Criteria* website to review clinical criteria for all injectable, infused or implanted prescription drugs.

This new website will provide the clinical criteria documents for all injectable, infused, or implanted prescription drugs and therapies covered under the medical benefit. These clinical criteria documents are not yet being used for clinical reviews, but are available to providers for familiarization of the new location and formatting.

Once finalized, providers will be notified prior to implementation of clinical criteria documents. Injectable oncology drug clinical criteria will not be posted on this website until mid-2019. Until implementation, providers should continue to access the clinical criteria for medications covered under the medical benefit through the standard process.

If you have questions or feedback, please use this email: drug.list@amerigroup.com

*This link leads to a third-party site. That organization is solely responsible for the contents and privacy policies on its site.

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