CommercialPrior AuthMedium impact
Pharmacy Medical Policy Updates
Blue Cross Blue Shield of Kansas·KS · Endocrinology, Family Medicine, Internal Medicine +2 more·Pharmacy
Effective date
Dec 1, 2022
We identified it
Jun 19, 2026
Summary
BCBSKS updated pharmacy medical policies for 6 drug categories effective December 1, 2022, including corticotropin, insulin pumps, weight loss agents, androgen/anabolic steroids, Strensiq, and Sucraid. Providers must refer to the BCBSKS prior authorization website for specific medication list policies managed through Prime Therapeutics.
Action Required
By December 1, 2022: Billing team must review updated pharmacy policies for corticotropin, insulin pumps, weight loss agents, androgen/anabolic steroids, Strensiq, and Sucraid on the BCBSKS prior authorization website at https://www.bcbsks.com/providers/precertification-prior-authorization. Verify prior authorization requirements for affected medications before dispensing or billing to avoid claim denials.