We've improved the commercial Blue Cross and BCN utilization management medical drug list

We've published updated documents with utilization management information about drugs covered under the medical benefit for Blue Cross Blue Shield of Michigan and Blue Care network commercial members.

Based on feedback we received from providers and others, we've made changes so the information will be more accessible, clear, transparent and streamlined:

We've published both lists on bcbsm.com, on the page titled Why do I need prior authorization for a prescription drug? Under the "How do I find out if my medication needs prior authorization?" heading, click Medical coverage drugs.

We'll also make these lists available at ereferrals.bcbsm.com:

You'll also be able to find these lists behind the provider portal.

We appreciate the feedback we received from the provider community and encourage additional comments on the new documents. Blue Cross and BCN are committed to providing reliable, up-to-date, easy-to-use resources, to help navigate the medical-benefit drug utilization management programs we have in place.

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