Thursday, September 6, 2012

BCBSNC: Pharmacy Changes Effective October 1

Blue Cross Blue Shield of North Carolina (BCBSNC) is expanding its utilization management (UM) programs for members with medical and pharmacy benefits effective October 1, 2012. These programs require prior review and have quantity limitations.

Medications that require prior review and have a quantity limitation:
  • Dificid
  • Qutenza
Medications that require prior review:
  • Drugs treating hereditary angioedema including Firazyr, Cinryze, Kalitor, and Berinert.
  • H.P. Acthar Gel
Medication that requires a quantity limitation:
  • OxyContin
For futher information please click here.

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