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
Aug 1, 2025
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 August 1, 2025. Providers must check the updated Part B drug list on the NextBlue Provider Website to identify which drugs now require prior authorization.
Action Required
By August 1, 2025: Billing team must review the updated NextBlue Part B drug list on the NextBlue Provider Website under Provider Resources. Update billing system to flag new drugs requiring prior authorization. Train staff to obtain prior authorization before administering affected Part B drugs to NextBlue Medicare Advantage patients. Contact NextBlue Provider Call Center at 844-753-8039 with questions.