Medicare AdvantagePrior AuthMedium impact
NextBlue of North Dakota Medicare Advantage Important Messages
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
NextBlue of North Dakota Medicare Advantage has updated their Part B drug prior authorization list effective October 1, 2025. New Part B drugs now require prior authorization, and providers need to check the updated drug list on their website.
Action Required
Immediately: Billing team must review the updated NextBlue Part B drug list at Provider Resources | NextBlue of North Dakota website. Update prior authorization workflows for new Part B drugs effective October 1, 2025. Ensure staff obtain prior authorization before administering newly listed Part B drugs to avoid claim denials. Contact Provider Service Center at 844-753-8039 for questions.