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Medicare AdvantagePrior AuthHigh impact

Medicare Part B Step Therapy Product Updates

Florida Blue·FL · Oncology, Rheumatology, Endocrinology +5 more·Medicare
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Days to comply

Summary

Florida Blue Medicare updated its Part B Step Therapy programs for Medicare Advantage plans, effective January 1, 2026. Multiple drug categories now have new preferred and non-preferred medications, requiring step therapy trials of preferred products before non-preferred drugs can be approved.

Action Required

Action needed
Before January 1, 2026: Billing team must update prior authorization systems to reflect new step therapy requirements for all listed drug categories. Update billing software to flag non-preferred products requiring step therapy trials. Train clinical staff on new preferred drug alternatives. Implement workflow to verify step therapy compliance before submitting claims for non-preferred medications. Claims for non-preferred drugs without proper step therapy documentation will be denied.

Affected Billing Codes

J0702
J1010
J1100
J1720
J2919
J3301
J3303
J0801
J0802
Q5103
J1745
Q5104
J1748
Q5121
Q9998
Q5099
J3358
Q5098
Q9999
Q9997
J3590
C9399
Q5138
Q5100
J3489
Q5136
Q5157
J0897
J3111
Q5158
Q5159
J1626
J2405
J2469
J1627
J2468
J1453
J1434
J0185
J0640
J0641
J0642
Q5107
Q5118
J9035
Q5126
Q5129
J9999
Q5117
Q5114
Q5116
J9355
J9356
Q5146
Q5113
Q5112
Q5115
Q5119
Q5123
J9312
J9310
J9311
J9036
J9034
J9033
J9206
J9205
Q5108
Q5111
Q5130
J2506
J1449
Q5127
J9361
Q5148
Q5120
Q5122
J1447
Q5101
Q5110
J1442
Q5125
J2820
J1303
J9332
J9334
J9333
Q5151
J1300
J1299
J1307
Q5152
J3490
J1823
J3396
Q5124
Q5128
J0178
J0177
J2778
J2777
Q5147
Q5149
Q5150
Q5153
Q5155
J0179
J2779
C9257