BCN launches new Medical Benefit Drugs-Pharmacy web page
BCN has launched a new Medical Benefit Drugs-Pharmacy web page on this website. You can go to that page and get all the information you need about drugs covered under the medical benefit.
To open this new page, click the Medical Benefit Drugs-Pharmacy link on the left navigation bar, on the BCN part of this website.
The new page offers the following resources for providers offering drugs covered under the medical benefit:
- Authorization requirements (We've added a link that currently opens the pertinent pages in the BCN Referral and Clinical Review Program document but that will later open an all-in-one document outlining authorization requirements and medical necessity criteria and more.)
- Medical necessity criteria (commercial)
- National Drug Code pricing guidelines (unit of measure guidelines for submitting commercial claims)
- Newsletter articles
- Instructions for accessing information in the Pharmacy chapter of the BCN Provider Manual
Over time, you'll be able to open more documents from this new web page, as they become available.
Also, we've removed medical benefit drug information from the Clinical Review and Criteria Resources web page and moved it to the new page.
Posted: August 2016
Line of business: Blue Care Network