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Medicare AdvantageCoverageMedium impact

MA08.007au, Medicare Part B vs. Part D Crossover Drugs

Independence Blue Cross·Pharmacy
Effective date
Mar 30, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA08.007au has been updated regarding coverage and reimbursement positions for drugs that crossover between Medicare Part B and Part D. This affects how certain medications are billed and covered under Medicare Advantage plans.

Action Required

Action needed
Before March 30, 2026: Billing team must review the full policy details at the provided URL to understand specific coverage changes for drugs that may be covered under either Medicare Part B or Part D. Update billing procedures and staff training for proper determination of Part B vs Part D drug billing for Medicare Advantage patients.