CommercialCoverageMedium impact
Pharmacy Medical Policy Updates
Blue Cross Blue Shield of Kansas·KS · Endocrinology, Rheumatology, Gastroenterology +6 more·Pharmacy
Effective date
Dec 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSKS updated pharmacy medical policies for 21 medications effective December 1, 2024, including Agamree, Emflaza, Kerendia, Korlym, Otezla, and others. These updates may affect prior authorization requirements, coverage criteria, or billing procedures for these specific medications.
Action Required
By December 1, 2024: Review the updated pharmacy medical policies for the 21 listed medications on the BCBSKS prior authorization page at https://www.bcbsks.com/providers/precertification-prior-authorization. Billing team and providers should verify current prior authorization requirements for these medications and update any internal reference materials or prescription protocols. Contact BCBSKS provider representative if clarification is needed on specific medication coverage criteria.