How to submit prior authorization requests for drugs that are managed by AIM when the drugs are prescribed for non-oncology diagnoses

AIM Specialty Health^® manages authorizations for medical oncology drugs for most members. They don't manage those drugs when prescribed for non-oncology diagnoses.

When prescribing these drugs for non-oncology diagnoses, don't submit the prior authorization to AIM. Instead:

• For Blue Cross commercial fully insured members and UAW Retiree Medical Benefits Trust members with Blue Cross non-Medicare plans: Fax all clinical documentation to the Blue Cross Pharmacy Help Desk at 1-866-915-9187.

  Note: This requirement doesn't apply to the UAW Retiree Health Care Trust (group number 70605) or the UAW International Union (group number 71714).

• For BCN commercial members: Fax all clinical documentation to the Blue Cross Pharmacy Help Desk at 1-877-402-7695.
• For Medicare Plus Blue^SM and BCN Advantage^SM members: Call the Blue Cross Blue Shield of Michigan and Blue Care Network Pharmacy Clinical Help Desk at 1-800-437-3803.

To determine which drugs this applies to, see the following drug lists:

• Medical oncology prior authorization list for Blue Cross commercial fully insured and BCN commercial members (PDF)
• Medical oncology prior authorization list for UAW Retiree Medical Benefits Trust PPO non-Medicare members (PDF)
• Medical Drug and Step Therapy Prior Authorization List for Medicare Plus Blue and BCN Advantage members (PDF)

We're updating these drug lists and other documents to reflect this requirement.

Posted: August 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network