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Register for the upcoming 2027 Change Provider Trainings
Join our Provider Relations team members for the virtual provider collaboration session(s). Register Now
Blue Cross Blue Shield of North Dakota (BCBSND) continually 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.
Medicaid Expansion Updates - Medical Pharmacy
Note: There may be corresponding policies for our Commercial lines of business.
The following Medicaid Expansion medical drug prior authorization policies are new and effective Jan. 1, 2027:
The following Medicaid Expansion prior authorization medical drug policies have coding changes effective Jan. 1, 2027:
Non-Migrated Commercial Updates - Medical Pharmacy
The following Commercial prior authorization medical drug policies are new and effective Jan. 1, 2027, for non-migrated members:
Retail Pharmacy
The following retail pharmacy Utilization Management (UM) programs have coding updates effective Jan. 1, 2027: