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Pharmacy Medical Policy Updates

Blue Cross Blue Shield of Kansas·KS·Pharmacy
Effective date
Feb 15, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of Kansas updated their pharmacy medical policies for two medications - Hyftor and Zoryve - effective February 15, 2023. The billing team should check if these medications require new prior authorization requirements through their pharmacy benefit manager Prime Therapeutics.

Action Required

Action needed
By February 15, 2023: Billing team must verify prior authorization requirements for Hyftor and Zoryve medications by checking the BCBSKS prior authorization page at https://www.bcbsks.com/providers/precertification-prior-authorization. Contact BCBSKS provider representative if questions arise about these pharmacy policy changes.