All PlansPrior AuthMedium impact
Medications Added to Prior Authorization List—Effective August 1, 2024
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Aug 1, 2024
We identified it
Jun 20, 2026
Summary
Effective August 1, 2024, CareFirst is adding certain medications to their prior authorization list to manage rising specialty drug costs. The policy also updates preferencing strategies for select medications covered under the medical benefit.
Action Required
By August 1, 2024: Billing team must review the full Provider News attachment to identify which specific medications now require prior authorization. Update billing workflows to verify prior auth approval before administering or prescribing newly listed medications. Coordinate with providers to ensure prior authorizations are obtained before treatment to prevent claim denials.