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Horizon BCBS NJAll Plans · Prior Auth · Prior AuthorizationMedium impact

Submitting a Prior Authorization Request for a Pharmacy Prescription Drug

Act
by Jun 1, 2026
Effective date
Jun 1, 2026
Identified
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.

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What to do

by Jun 1, 2026 · 2 steps
01All providers must follow the new prior authorization submission process for pharmacy prescription drugs when working with Horizon Blue Cross Blue Shield.
02Update clinic procedures to ensure staff are familiar with the revised prior auth requirements and submission methods for prescription medications.

Original notice

Submitting a Prior Authorization Request for a Pharmacy Prescription Drug
horizonblue.com · Always check the source before changing claims.
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Related changes

See all Horizon BCBS NJ changes →
Submitting a Prior Authorization Request for a Pharmacy Prescription DrugMediumEffective Jan 1, 2027 · Prior AuthorizationBrowse every Horizon BCBS NJ change in the policy list

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