All PlansPrior AuthMedium impact
Submitting a Prior Authorization Request for a Pharmacy Prescription Drug
Horizon BCBS NJ·Prior Authorization
Effective date
Jun 1, 2026
We identified it
Jun 16, 2026
Summary
Horizon Blue Cross Blue Shield has updated their process for submitting prior authorization requests for pharmacy prescription drugs, effective June 1, 2026. This policy change affects how providers must request approval for certain medications before they can be covered.
Action Required
By June 1, 2026: All providers must follow the new prior authorization submission process for pharmacy prescription drugs when working with Horizon Blue Cross Blue Shield. Update clinic procedures to ensure staff are familiar with the revised prior auth requirements and submission methods for prescription medications.