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Pharmacy Medical Policy Updates

The following Pharmacy Medical Policy programs have been updated today, May 1, 2021:
Effective June 1, 2021:

  • Sunosi
  • Wakix
  • VMAT2
  • Oxybate (current program name is Sodium Oxybate)
  • Xolair
  • Winlevi

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