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CommercialPrior AuthMedium impact

Coronavirus Updates - Here’s What You Need to Know.

CareFirst BlueCross BlueShield·Pharmacy
Effective date
Apr 13, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst is extending clinical prior authorizations for most drugs expiring by June 30, 2020 for an additional 90 days due to COVID-19, except for opioids, Hepatitis C, dermatologicals, and hypnotics. New quantity limits are being applied to medications used off-label for COVID-19 treatment.

Action Required

Action needed
Immediately: Check CareFirst provider portal to view updated prior authorization expiration dates for affected medications. Review the CareFirst Coronavirus Resource Center for list of drugs with new quantity limits for COVID-19 treatment. No action needed for existing prior authorizations being extended, but billing team should verify extended dates in system to prevent unnecessary reauthorization requests.