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Updated Categories for Medicare Advantage Part B Step Therapy

Florida Blue·FL · Rheumatology, Oncology, Ophthalmology +1 more·Medicare
Effective date
Sep 15, 2025
We identified it
Jun 16, 2026
Days to comply

Summary

Florida Blue Medicare updated its Part B Step Therapy program effective September 15, 2025, adding new non-preferred drugs to four categories that now require step therapy and prior authorization. Billing teams must ensure preferred alternatives are tried first or obtain prior authorization for the newly added non-preferred medications.

Action Required

Action needed
By September 15, 2025: Billing team must update prior authorization requirements for all newly added non-preferred drugs in the four categories (autoimmune therapy, bone remodeling agents, cancer/supportive therapy, and ophthalmic agents). Update billing system to flag these codes for step therapy verification. Providers must prescribe preferred alternatives first or obtain prior authorization for non-preferred drugs to avoid claim denials.

Affected Billing Codes

Q5135
J3262
Q5133
Q5156
J3489
Q5136
C9399
J3590
J0897
J3111
Q5107
Q5118
J9035
Q5126
Q5129
J9999
J3490
C9257
J0179
Q5124
Q5128
J0178
J0177
J2778
J2503
J2779
J2777
J3396
Q5147
Q5149
Q5150
Q5153
Q5155