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July 2023
Starting Aug. 15, we’ll require prior authorization for some diabetes drugsBeginning Aug. 15, 2023, health care providers for Blue Cross Blue Shield of Michigan and Blue Care Network commercial members will need to obtain prior authorization to show that the brand-name medications listed below are being used for Type 2 diabetes for us to pay for them. Medicare members are excluded from this change.
Members should ask their prescribing doctor to contact us to request a prior authorization for the medications listed above. If the prescription isn’t authorized in advance, it may not be paid for. We announced a similar change on Feb. 1, 2023, which didn’t apply to members who were already taking these medications. Effective Aug. 15, all members are required to have a prior authorization for these medications. Providers can request prior authorization electronically. For information on how to submit the request:
For a complete list of drugs and associated requirements, go to bcbsm.com/druglists. |
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