CommercialAdministrativeMedium impact
Pharmacy news roundup
BCBS Michigan·MI·Pharmacy
We identified it
Jun 16, 2026
Summary
BCBSM published a pharmacy news roundup directing providers to access current pharmacy alerts through the Availity provider portal. Multiple pharmacy-related changes from March 2026 are referenced, including facility claim modifier restrictions, new prior authorization requirements, and expanded pharmacist scope of practice.
Action Required
Immediately: Log into Availity provider portal (availity.com) to review current pharmacy alerts. Navigate to Payer Spaces > BCBSM/BCN logo > Resources > Secure Provider Resources > Read Alerts > Pharmacy to access all pharmacy-related policy updates. Review March 2026 alerts for facility claims using JW and JZ modifiers, new prior authorization requirements for Medicare Advantage, and expanded pharmacist services. Consider subscribing to Provider Alerts Weekly for ongoing updates.