Anthem BCBSMedium ImpactAdministrative
[California] Pharmacy NDC Validation
Published May 3, 2026
AI 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
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.
Plan Types
Commercial
States
CA
Specialties
all-specialties