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Medicare AdvantagePrior AuthMedium impact

NextBlue of North Dakota Medicare Advantage Part B Drugs Requiring Prior Authorizations

Blue Cross Blue Shield of North Dakota·ND · Oncology, Rheumatology, Ophthalmology +2 more·Provider News
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

NextBlue of North Dakota Medicare Advantage is implementing new prior authorization requirements for certain Part B drugs effective February 1, 2026. The updated drug list requiring prior authorization is available on the NextBlue Provider Website under Provider Resources.

Action Required

Action needed
By February 1, 2026: Billing team must access the updated NextBlue Part B drug list on the NextBlue Provider Website under Provider Resources to identify which Part B drugs now require prior authorization. Update billing system to flag these drugs for prior auth verification before administration. Contact NextBlue Provider Call Center at 844-753-8039 for questions. Claims for affected Part B drugs will be denied without proper prior authorization.