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Changes to Our Annual National Drug Code Fee Schedule, Impact and Timeline

BCBS Montana·MT·Pharmacy
Effective date
Sep 1, 2026
We identified it
Jun 18, 2026
Days to comply
74 days

Summary

Blue Cross Blue Shield of Montana is updating their National Drug Code (NDC) Fee Schedule with new reimbursement rates for medications effective September 1, 2026. Providers can review the updated rates through Availity Essentials after the effective date.

Action Required

Before Sep 1, 2026
On or after September 1, 2026: Log into Availity Essentials to review updated NDC reimbursement rates that may affect your pharmacy billing. Monitor monthly Blue Review publications for ongoing fee schedule updates. Maintain confidentiality of the fee schedule per provider agreement.