Pharmacy Policies Available Online

Blue Cross Blue Shield of North Dakota (BCBSND) regularly develops and revises pharmacy policies in response to rapidly changing pharmaceutical requirements. Our commitment is to update the provider community as pharmacy policies are adopted and/or revised. 

The following medical drug policies are new and require precertification:

The following medical drug policy is new:

The following medical drug policies were revised:

The following medical drug policies had coding changes effective 7/1/2021:

The following medical drug policy was retired 6/30/21:

The following medical drug policies were reviewed with no clinical content change:

The following new Utilization Management program is effective on the pharmacy benefit effective 7/1/2021:

  • Imcivree Prior Authorization with Quantity Limit
  • Zokinvy Prior Authorization with Quantity Limit

Effective August 1, 2021 all medical benefit medications that do not require precertification will no longer be eligible for pre-service review. These requests will be canceled, and providers will be referred to the Drug Indications policy.