Pharmacy Policies Available Online

Blue Cross Blue Shield of North Dakota regularly develops and revises medical policies in response to rapidly changing medical technology. Our commitment is to update the provider community as medical policies are adopted and/or revised. Benefit determinations are made based on the medical policy in effect at the time of service.

The following pharmacy medical policies were reviewed by the Internal Medical Policy Committee on July 22, 2020. Please see policy for changes. Medical policies are available at www.bcbsnd.com/web/providers/policies.

The following medical drug policies are new and require precertification:

The following medical drug policies were revised and require precertification:

The following medical drug policies were revised:

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

The following medical drug policy was retired:

The following medical drug policies had coding changes effective 7/1/2020: