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January 2025

Commercial prior authorization requests submitted through NovoLogix must be submitted through a different application, starting April 1

For most commercial members, health care providers will need to submit prior authorization requests for medical benefit drugs that are currently submitted through the NovoLogix® online tool through a different application. This applies to dates of service on or after April 1, 2025.

Blue Cross Blue Shield of Michigan and Blue Care Network will continue to manage the prior authorization and site-of-care requirements for these drugs.

Through March 31, 2025, continue to submit these prior authorization requests through NovoLogix. This includes requests involving site-of-care requirements.

Watch for additional communications about training opportunities and resources for the application in first-quarter 2025.

NovoLogix is an independent company that provides an online prescription drug prior authorization tool for Blue Cross Blue Shield of Michigan and Blue Care Network.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2024 American Medical Association. All rights reserved.