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Pharmacy Medical Policy Updates

The following Pharmacy Medical Policy programs have been updated March 1, 2022:

Effective March 1, 2022:

  • Topical Doxepin
  • Retinoids
  • Enspryng
  • Antidepressants
  • ACA Prevention Copay Waiver
  • Denosumab – Oncology
  • Denosumab - Osteoporosis
  • Emflaza
  • Procysbi
  • Progesterones
  • Urea Cycle Disorders

Effective April 1, 2022:

  • Colony Stimulating Factors
  • Acute Migraine Agents
  • Cholestasis Pruritus
  • Amifampridine
  • Oxybate
  • Wakix
  • VMAT2 Inhibitors
  • CFTR
  • Xhance
  • Arikayce
  • Corticotropin

Many of our pharmacy medical policies are maintained through our pharmacy benefit manager, Prime Therapeutics.

To find pharmacy medical policies specific to a medication list, please select a medication list at the bottom of our prior authorization page of our website, https://www.bcbsks.com/providers/precertification-prior-authorization

If you have any questions regarding this newsletter, please contact your BCBSKS provider representative/consultant.

Institutional Providers
Professional Providers