CommercialCoverageMedium impact
Upcoming CareFirst Formulary Updates Effective July 1, 2022
CareFirst BlueCross BlueShield·Pharmacy
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield is implementing formulary updates effective July 1, 2022, which may include drug additions, tier changes, utilization management modifications, and medication removals. These changes affect patients with CareFirst prescription benefits and could impact prior authorization requirements for medications.
Action Required
Before July 1, 2022: Billing team and providers should review the CareFirst formulary updates summary document to identify specific medication changes affecting their patients. Update prior authorization workflows and inform patients of potential medication tier changes or coverage modifications. Monitor for increased prior authorization requirements that may affect treatment plans.