All PlansAdministrativeMedium impact
[Virginia] National Drug Codes (NDCs) are required for outpatient claims
Anthem BCBS·VA·Pharmacy
We identified it
May 3, 2026
Summary
Virginia outpatient claims now require National Drug Codes (NDCs) to be included for proper processing. This affects any outpatient services involving medications or pharmaceutical products.
Action Required
Immediately: Billing team must update claim submission procedures to include National Drug Codes (NDCs) for all outpatient claims involving medications or pharmaceutical products in Virginia. Update billing software templates and train staff on NDC requirements. Claims without proper NDCs may be rejected or delayed.