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BC-COM_PharmProgPolicyNotifctn_2021-0301.pdf
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QP123-20 Validation of National Drug Codes Submitted with Medical Drug Claims
Program effective Date: Dec 23, 2020
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QP1-21 Pharmacy Benefit Update – Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective March 1, 2021
Program effective Date: Jan 13, 2021
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QP3-21 Commercial and MHCP Pharmacy Benefit Exclusion for Barhemsys® and Monoferric®
Program effective Date: Jan 13, 2021
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P81R1-20 Update: eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: Jan 04, 2021
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P5-21 New Reimbursement Policy: Outpatient Services Prior to an Inpatient Admission
Program effective Date: Jan 04, 2021
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QP106R1-20 Update: CPT Code 99072 Will Not Be Separately Reimbursed
Program effective Date: Dec 23, 2020