Anthem Blue Cross Connecticut MED.00133 Ingestion Event Monitors Form

This document addresses ingestion event monitors for medication monitoring and adherence (ID-CAP^™ System [etectRx^™, Gainesville, FL]). Ingestion event monitors include a wireless sensor that is swallowed, a sensor worn outside of the body, a mobile device application for the recipient as well as an application utilized by medical professionals.

This document does not address Abilify MyCite^® (Otsuka America Pharmaceutical, Inc., Rockville, MD), which is specifically designed to be administered solely for monitoring and adherence of Abilify, an oral antipsychotic drug.

Position Statement

Investigational and Not Medically Necessary:

Ingestion event monitors are considered investigational and not medically necessary for medication monitoring and adherence and for all other indications.