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CommercialAdministrativeMedium impact

[California] Pharmacy NDC Validation

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

Summary

Anthem California now requires pharmacy NDC (National Drug Code) validation for pharmacy claims. This means pharmacy-related billing must include proper NDC numbers to avoid claim rejections.

Action Required

Action needed
Immediately: Billing team must ensure all pharmacy claims to Anthem California include valid NDC numbers. Update billing system to validate NDC codes before claim submission. Coordinate with pharmacy staff to verify NDC numbers are properly documented and transmitted with all drug-related claims to prevent rejections.

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