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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 polies effective date is September 2022, unless noted and policies will be undated within the next 30 days.

The following medical drug policies are new:

The following medical drug policy will require precertification starting 9/1/2022:

The following medical drug policies were revised:

The following medical drug policies had a coding change effective 7/1/2022:

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

The following new retail pharmacy Utilization Management program is effective 9/1/2022:

  • IL-13 Antagonist Prior Authorization with Quantity Limit - Adbry (tralokinumab-ldrm)

The following new retail pharmacy Utilization Management programs are effective 10/1/2022:

  • Cibinqo (abrocitinib) Prior Authorization with Quantity Limit
  • Radicava (edaravone) Prior Authorization with Quantity Limit – oral solution

The following medical drug policies will be retired 8/31/2022: