CommercialAdministrativeMedium impact
Updated Drug Formulary Lists Now Available
Blue Cross Blue Shield of North Dakota·ND · Pharmacy·Pharmacy
Effective date
Jul 9, 2026
We identified it
Jul 15, 2026
Summary
BCBS North Dakota has released updated drug formulary lists for July 2026, effective immediately. The formulary lists are now available online and include covered medications, prior authorization requirements, dispensing limits, and pharmaceutical management procedures. Billing teams must access and review these updated lists to ensure accurate claim submission and prior authorization processing.
Action Required
Immediately: Billing team must access the updated July 2026 BCBS North Dakota drug formulary lists at BCBSND.com Provider Pharmacy Information or contact BCBSND Provider Services (800-368-2312, or 833-777-5779 for Medicaid Expansion) to obtain a copy. Review formulary for covered medications, prior authorization requirements, and dispensing limits applicable to your patient population. Update billing system rules and prior authorization workflows to reflect any new or changed medications, prior auth thresholds, or pharmaceutical management procedures. Failure to follow updated formulary requirements will result in claim denials and patient billing issues.