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[California] National Drug Codes (NDCs) are required for outpatient claims

Anthem BCBS·CA·Pharmacy
Effective date
Not stated
We identified it
May 3, 2026
Days to comply
—

Summary

Anthem California now requires National Drug Codes (NDCs) to be included on all outpatient claims for pharmacy-related services. Claims submitted without proper NDC codes will likely be rejected or denied.

Action Required

Action needed
Immediately: Billing team must update all outpatient claim submissions to include National Drug Codes (NDCs) for any pharmacy-related services or drug administration. Update billing software to require NDC entry for drug-related procedures. Verify NDC codes are populated in practice management system before claim submission. Claims without NDCs will be rejected by Anthem California.

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