Anthem BCBSHigh ImpactAdministrative
[California] National Drug Codes (NDCs) are required for outpatient claims
Published May 3, 2026
AI 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
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.
Plan Types
Commercial
States
CA
Specialties
all-specialties