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CommercialPrior AuthLow impact

Givlaari (givosiran)

Blue Cross & Blue Shield of Mississippi·MS · Hematology, Gastroenterology·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS Mississippi updated their prior authorization policy for Givlaari (givosiran), a specialty medication for acute hepatic porphyria. The policy includes strict initial criteria requiring documented attacks and specialist prescriber requirements, with 6-month initial approvals and 12-month renewals.

Action Required

Action needed
Immediately: Billing team must ensure prior authorization is obtained before administering Givlaari (givosiran) injection J0223. Verify patient meets all criteria including age ≥18, documented AHP diagnosis, history of attacks within 6 months, and specialist prescriber. Update billing system to flag J0223 as requiring prior auth for BCBS MS. Claims will be denied without proper authorization.

Affected Billing Codes

J0223