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CommercialCoverageMedium impact

Formulary updates – July 1, 2024

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI updated their Net Results formulary effective July 1, 2024, affecting medication coverage for commercial employer groups and individual market plans. The changes impact which medications are covered and may require prior authorizations or step therapy for certain drugs.

Action Required

Action needed
Immediately: Review updated BCBSRI Net Results formulary for all commercial and individual market patients. Verify current medications are still covered before prescribing. Update prior authorization workflows for any newly restricted medications. Contact BCBSRI for specific formulary details not provided in this summary notice.