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
Nov 1, 2025
We identified it
Jun 19, 2026
Summary
NextBlue of North Dakota Medicare Advantage has added new Part B drugs to their prior authorization requirements, effective November and December 1, 2025. Providers must check the updated Part B drug list on the NextBlue Provider Website to identify which drugs now require prior authorization before administration or prescription.
Action Required
Immediately: Billing and clinical teams must access the updated NextBlue Part B drug list on the NextBlue Provider Website under Provider Resources to identify newly added prior authorization requirements. Update internal drug administration protocols and billing workflows to obtain prior authorization for affected Part B drugs before administration. Contact NextBlue Provider Call Center at 844-753-8039 with questions. Failure to obtain required prior authorizations will result in claim denials.