New user-friendly prompts coming to Pharmacy Prior Authorization Help Desk

Starting Dec. 14, 2018, you’ll hear something new when you call the Pharmacy Prior Authorization Help Desk toll-free number. New phone prompts will direct callers to the appropriate line of business for eligible Blue Cross Blue Shield of Michigan and Blue Care Network members.

The prompts are clear and simple to use. Here’s what you need to do:

1. Call 1-800-437-3803.
   
   
2. Enter a valid member contract number to authenticate and speak with a live representative.
   
   The automated system will find contracts by line of business. This will eliminate the need for you to provide an answer if the contract is commercial or Medicare. Without an eligible contract, you won’t be able to speak to a live agent.
   
   
3. Choose the pharmacy or medical drug benefit you’re calling about. You’ll hear the following prompt:
   
   
   “There are two options for drug prior authorizations. For medications that are taken by the patient themselves and billed to the pharmacy benefit, say ‘pharmacy.’ For infusions or injectable drugs given by a health care professional, billed to the medical benefit, say ‘medical.’”
   
   “Pharmacy” covers self-administered oral, topical or self-injected drugs the member picks up at a retail pharmacy.
   
   “Medical” covers drugs administered by a health care professional, often in a home, office or outpatient facility.
   
   
4. Choose the appropriate option for fast and accurate service.