Need to treat a Blue Cross Medicare Plus BlueSM PPO and BCN AdvantageSM HMO-POS or BCN Advantage patient with medical drugs at a provider office, an outpatient facility location or the patient’s home? You'll need to submit a prior authorization request and follow our medical policies to avoid a rejected claim.
You can submit your request by logging in to the provider portal or using Novologix. If you don't have access to the provider portal, learn how to get an account. In the meantime, you can submit your prior authorization request by locating the appropriate form on this page and faxing it.
View our medical policies to learn about our drug guidelines. You can submit a prior authorization request through logging in to the provider portal or by faxing in the global request form (PDF).