Benefits & Coverage
SecureBlue 2023 Annual Notice of Changes
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Benefits & Coverage
SecureBlue 2023 Member Handbook
Provider
Factor VIII and von Willebrand Factor - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Provider
QP61-22 Free Continuing Education for Mental Health Providers through 12/31/22
Program effective Date: Jul 27, 2022
Provider
QP62-22 Commercial Pharmacy Benefit Exclusion for Propel®, Propel Mini®, Sinuva®
Program effective Date: Jul 27, 2022
Provider
QP63-22 MHCP Pharmacy Benefit Update – New drug-related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Ryplazim® (plasminogen, human-tvmh)
Program effective Date: Jul 27, 2022
Provider
QP55-22 Commercial Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective September 1, 2022
Program effective Date: Jul 13, 2022
Provider
QP56-22 MHCP Pharmacy Benefit Update – New drug-related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Cibinqo™ (abrocitinib)
Program effective Date: Jul 13, 2022
Provider
Recorlev® (levoketoconazole) - Medicaid - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Provider
QP70-22 New Forms for Children’s Residential Treatment Admissions and Continued Stay Requests
Program effective Date: Aug 24, 2022