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Pharmacy Updates

Blue Cross Blue Shield of Vermont·VT · OB-GYN, Family Medicine·Pharmacy
Effective date
Jul 3, 2026
We identified it
Jun 19, 2026
Days to comply
13 days

Summary

Blue Cross VT has issued multiple policy updates affecting providers, including mandatory electronic payments starting October 1, 2026, NDC requirements for drug claims starting July 3, 2026, and changes to maternity care coding effective January 1, 2027. The global maternity code will be removed and replaced with new CPT codes.

Action Required

Before Jul 3, 2026
By July 3, 2026: Update billing system to include NDC, Unit of Measure (UoM) and Quantity for all drug-related HCPCS claims. By October 1, 2026: Enroll in Electronic Fund Transfer (EFT) by calling PayeeHub at (877) 882-0384 - paper checks will no longer be issued. By January 1, 2027: Stop using global maternity codes and implement new CPT codes for maternity care billing. Claims with old codes will be denied after these dates.