CommercialPrior AuthMedium impact
Upcoming CareFirst Formulary Updates
CareFirst BlueCross BlueShield·Endocrinology, Family Medicine, Internal Medicine·Prior Authorization
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield is updating their commercial and exchange formularies effective July 1, 2021, including adding Accu-Chek as a co-preferred option for diabetic supplies alongside OneTouch. These quarterly updates may include drug additions, utilization management changes, tier changes, and medication removals.
Action Required
By July 1, 2021: Review the CareFirst formulary changes summary document to identify specific medications affected for your patient population. Update prior authorization workflows for any new utilization management requirements. Inform providers about Accu-Chek being added as a co-preferred diabetic supply option along with OneTouch.