NextBlue of North Dakota Medicare Advantage Important Update

NextBlue is informing providers of a new step therapy requirement to be added for Pemetrexed drugs for dates of service on or after April 26, 2024, members must try and fail two other pemetrexed drugs before we will approve prior authorization requests for Pemfexy® (pemetrexed), HCPCS code J9304.

Refer to the complete article found on the NextBlue of North Dakota Provider Website under Provider Latest News.

Contact our NextBlue of North Dakota Provider Call Center at 1-844-753-8039.