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Pharmacy Medical Policy Updates

Blue Cross Blue Shield of Kansas·KS · Endocrinology, Dermatology, Family Medicine +2 more·Pharmacy
Effective date
Sep 3, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

BCBS Kansas updated pharmacy medical policies for Insulin Combinations and Cibinqo (abrocitinib), effective September 3, 2022. These policies are managed through Prime Therapeutics and may affect prior authorization requirements for these medications.

Action Required

Action needed
By September 3, 2022: Billing team should review updated pharmacy policies for Insulin Combinations and Cibinqo at https://www.bcbsks.com/providers/precertification-prior-authorization to identify any new prior authorization requirements. Check specific medication lists on the BCBS Kansas website and update prior auth workflows accordingly. Contact BCBSKS provider representative for clarification on specific requirements.