Brineura® won't require prior authorization for URMBT members with Blue Cross non-Medicare plans
In December 2021, we communicated that we'd be adding a prior authorization requirement for Brineura (cerliponase alfa), HCPCS code J0567, for UAW Retiree Medical Benefits Trust members with Blue Cross non-Medicare plans starting March 10, 2022.
However, URMBT has decided not to add Brineura as a benefit for Blue Cross non-Medicare plans. As a result, we're updating the NovoLogix® online tool to remove prior authorization and quantity limit requirements for Brineura for these members.
For information on requirements related to drugs covered under the medical benefit, refer to the document Medical Drug Management with Blue Cross for UAW Retiree Medical Benefit Trust PPO non-Medicare Members (PDF).
Posted: March 2022
Line of business: Blue Cross Blue Shield of Michigan