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September 2015

Medical Drug Utilization Management Program to include certain drug limits

Blue Cross Blue Shield of Michigan will make some changes in its Medical Drug Utilization Management Program to include limits on medical drugs administered under the professional medical benefit.

The drug limits will include the following:

  • Maximum dose per day
  • Interval time periods (how often a drug can be administered)
  • Lifetime maximums (number of doses per lifetime)
  • Number of doses per time period

These limitations are based on U.S. Food and Drug Administration, manufacturer labeling and Blue Cross medical and drug policies.

We’ll provide additional details in The Record later this year.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
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