Georgia
Provider Communications
BCBSGa expands specialty pharmacy prior authorization list
Please note, inclusion of NDC code on your claim will shorten the claim processing of drugs billed with a Not Otherwise Classified (NOC) code.
BCBSGa’s prior authorization clinical review of these specialty pharmacy drugs will be managed by AIM Specialty Health® (AIM), a separate company.
The following clinical guidelines or medical policies will be effective January 1, 2019:
Coverage or Clinical UM Guideline |
HCPCS/CPT Code |
NDC Code
|
Drug |
Comments |
DRUG.00096 |
J3490 J3590 |
62064-0122-02 |
Trogarzo™ |
New policy |
Featured In:
October 2018 BCBSGa Provider Newsletter