Update: Commercial prior authorization requests submitted through NovoLogix must be submitted through a different application

For most Blue Cross Blue Shield of Michigan and Blue Care Network commercial members, health care providers need to submit prior authorization requests for medical benefit drugs that are currently submitted through the NovoLogix^® online tool through the Medical and Pharmacy Drug PA Portal.

In a Jan. 3 provider alert, we announced that this change would happen on April 1, 2025, but the date was extended to April 21.

Use the Medical and Pharmacy Drug PA Portal to submit both medical and pharmacy drug prior authorization requests for commercial members.**

To access it:

• Log in to our provider portal at availity.com.***
• Click on Payer Spaces on the menu bar, and then click on the BCBSM and BCN logo.
• Under Applications, click on the Medical/Pharm Drug Benefit Prior Auth (Commercial) tile.

Here are a few notes to remember:

• Submit any retroactive authorization requests through the new tool.  
• The NovoLogix online tool will be available until May 1, 2025.
• On April 21, the Medication PriorAuth (pharmacy benefit) tile you used to submit prior authorization requests for most pharmacy benefit drugs was renamed to Pharmacy Drug Prior Auth Only (Non-preferred).

Training opportunities

A demo of the new application is available on our provider training site. You can also register for upcoming Q&A sessions. To find these opportunities, search on drugs.

Important: Before attending a live Q&A session, be sure to watch the recorded demo, called Medical and Pharmacy Drug PA Portal Overview.

The Q&A sessions will take place in May. Check the Provider Training site for dates and times.

To access the training site, follow these steps:

1. Log in to the provider portal at availity.com.***
2. Click on Payer Spaces on the menu bar, and then click the BCBSM and BCN logo.
3. Click on the Provider Training Site tile under the Applications tab.
4. Select an organization and click on Submit.

For issues regarding access to or navigating the site, email ProviderTraining@bcbsm.com.

**Submit prior authorization requests for oncology medical and pharmacy benefit drugs to OncoHealth. For more information, see the document titled Oncology Value Management program through OncoHealth: FAQ for providers.

***Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

Availity^® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

OncoHealth is an independent company supporting Blue Cross Blue Shield of Michigan and Blue Care Network by providing cancer support services.