Starting Dec. 27, additional drugs require prior authorization for URMBT members with Blue Cross non-Medicare plans
For dates of service on or after Dec. 27, 2021, we're adding requirements for the following drugs covered under the medical benefit:
These requirements apply when the drugs are administered in an outpatient setting for Blue Cross UAW Retiree Medical Benefits Trust members with Blue Cross non-Medicare plans.
How to submit authorization requests
Submit prior authorization requests through NovoLogix. It offers real-time status checks and immediate approvals for certain medications.
To learn how to submit requests through NovoLogix, visit the Blue Cross Medical Benefit Drugs page on the ereferals.bcbsm.com website. Scroll to the Blue Cross commercial column and review the information in the “How to submit authorization requests electronically using NovoLogix” section.
More about the authorization requirements
Authorization isn't a guarantee of payment. As always, health care practitioners need to verify eligibility and benefits for members.
For additional information on requirements related to drugs covered under the medical benefit for UAW Retiree Medical Benefits Trust members with Blue Cross non-Medicare plans, see:
We'll update the appropriate drug lists to reflect the information in this message prior to the effective date.
Note: Accredo manages prior authorization requests for additional medical benefit drugs.
Posted: September 2021
Line of business: Blue Cross Blue Shield of Michigan