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CommercialPrior AuthMedium impact

Important Reminder Commercial Medical Pharmacy Drug Authorization

Blue Cross Blue Shield of North Dakota·ND·Prior Authorization
Effective date
Nov 26, 2025
We identified it
Jun 19, 2026
Days to comply
—

Summary

BCBSND requires providers to submit change requests through Prime Therapeutics when modifying previously approved prior authorizations for medical drugs (dose, frequency, or biosimilar changes). All changes must be processed through Prime's Medical Pharmacy Solutions team at 800-424-1708 with correct start dates to ensure proper claims processing.

Action Required

Action needed
Immediately: When modifying any previously approved prior authorization for medical drugs (dose changes, frequency changes, or biosimilar product changes), billing team and providers must call Prime Therapeutics Medical Pharmacy Solutions team at 800-424-1708 to submit change requests. Ensure correct start dates are provided to prevent claims processing issues. Update workflow to include this step before submitting modified drug claims.

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