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September 2017

Searching for drug prior authorization criteria just got easier

We’ve made it easier for you to find our drug plan prior authorization criteria online. From bcbsm.com, type in either “PA criteria” or “Medicare PA criteria” in the search field.

To find:

Type:

Prior authorization criteria for a PPO pharmacy plan

PA criteria

Prior authorization criteria for a Blue Care Network HMO plan

PA criteria

Prior authorization criteria for a BCN Advantage Medicare plan

Medicare PA criteria

Following is a screen shot of what you’ll see when using the search feature:

image

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.