Provider
Sucraid (sacrosidase) - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Dec 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Dec 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Dec 01, 2025
Quantity Limit
Program effective Date: Dec 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Dec 01, 2025
Blue Cross and Blue Shield of Minnesota and Blue Plus (Blue Cross) has a prior authorization process for various services, procedures, prescription drugs, and medical devices. The lists clarify medical policy, prior authorization, and notification requirements for the Minnesota Senior Health Options (MSHO) plan.