Medicare Specialty Injectable Policies

Find the medical policy you need below.

The below medical specialty injectable drug policies and fax forms are applicable only to Medicare Advantage lines of business. 

Please see our main policy page for services not related to medical specialty injectable drugs.


    Capital BlueCross defers to Centers for Medicare and Medicaid Services (CMS) guidelines for coverage positions for our Medicare Advantage (HMO and PPO) lines of business. CMS guidance takes precedence; where no Medicare guidelines exist, Capital BlueCross will defer to its existing commercial medical policy.

    The medical specialty injectable drug policies and fax forms apply to Medicare Advantage lines of business.  Visit the medical policy page for services not related to medical injectable drugs.