Pharmacy Policies Available Online

NOTE** Review policies online to determine if the policy applies to both BCBSND Commercial and/or Medicaid Expansion Plans.

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. Listed are the policy updates for June and July 2022.
 
The following medical drug policies were revised:

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

The following new retail pharmacy Utilization Management program is effective 7/1/2022:

  • Voxzogo PAQL – for NetResults Formulary only 

The following medical drug policies were revised and specific for Medicaid Expansion:
Note: There may be corresponding policies for our Commercial lines of business or policies that apply to both Commercial and Medicaid Expansion lines of business.

The following medical drug policies will be retired June 30, 2022: