All PlansAdministrativeHigh impact
[New York] National Drug Codes (NDCs) are required for outpatient claims
Anthem BCBS·NY·Pharmacy
We identified it
May 3, 2026
Summary
Anthem in New York now requires National Drug Codes (NDCs) to be included on all outpatient claims for pharmacy-related services. Claims submitted without proper NDC information may be rejected or denied.
Action Required
Immediately: Billing team must update claim submission processes to include National Drug Codes (NDCs) for all outpatient pharmacy claims submitted to Anthem New York. Verify billing software captures NDC information from pharmacy dispensing records. Train staff to ensure NDCs are populated before claim submission. Claims without NDCs will likely be rejected.