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CommercialPrior AuthHigh impact

Commercial and Other Pharmacy Updates of April 1

Florida Blue·FL·Pharmacy
Effective date
Apr 1, 2026
We identified it
Jun 16, 2026
Days to comply

Summary

Florida Blue is implementing major pharmacy changes effective April 1, 2026, including adding 40+ medications to quantity limits, adding 33+ drugs requiring prior authorization, and excluding 40+ brand-name drugs from coverage. These changes affect both regular commercial plans and Net Results formulary plans.

Action Required

Action needed
By April 1, 2026: Clinical staff must obtain prior authorization for 33+ newly added medications including Wegovy, Cimzia, gabapentin once-daily formulations, and other specialty drugs for FDA-approved indications only. Update EMR alerts for quantity-limited medications (40+ drugs with specific dispensing limits). Verify formulary coverage before prescribing as 40+ brand-name drugs are now excluded from coverage. Update patient counseling protocols to discuss therapeutic alternatives for excluded medications.