Reminder: New Medical Pharmacy Prior Authorization Process to Begin

Blue Cross Blue Shield of North Dakota (BCBSND) and our partnering administrator Medical Pharmacy Solutions team at Prime Therapeutics Management (Prime) would like to remind our provider community that Providers may begin entering new requests for dates of services Dec. 9, 2024, and beyond for the medical pharmacy prior authorization process through www.gatewaypa.com. As a reminder our go live date is Dec. 9, 2024.

It is important to review the BCBSND policies within https://www.gatewaypa.com/policydisplay/52 as we have a delay in our PA checkpoint tool upgrade directing medical pharmacy drugs prior authorizations to Prime gateway.

Questions?
Refer to our previously posted HealthCare News article Coming Soon: Medical Pharmacy Prior Authorization Process Changes and access the Medical Pharmacy Solutions Provider webpage. We will be posting the educational webinar to our website shortly for your review.

Contact the BCBSND Provider Service Center at 1-800-368-2312 or email prov.partners@bcbsnd.com.