Medicare AdvantagePrior AuthMedium impact
NextBlue of North Dakota Medicare Advantage Part B Drugs Requiring Prior Authorizations
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
May 1, 2026
We identified it
Jun 19, 2026
Summary
NextBlue of North Dakota Medicare Advantage is implementing new prior authorization requirements for certain Part B drugs effective May 1, 2026. Providers must check the updated Part B drug list on the NextBlue Provider Website and obtain prior authorization for affected medications to avoid claim denials.
Action Required
By May 1, 2026: Billing team must access the NextBlue Provider Website under Latest News Prior Authorizations Updates to review the updated Part B drug list. Update billing system to flag affected Part B drugs for prior authorization. Train providers and clinical staff on new PA requirements. Contact NextBlue Provider Call Center at 844-753-8039 with questions. Claims for affected Part B drugs will be denied without proper prior authorization.