Blue Cross NC policy

New Specialty Pharmacy Medical Step Therapy Requirements (July 1, 2025) (PDF)

New Specialty Pharmacy Medical Step Therapy Requirements (July 1, 2025) (PDF) is a public Blue Cross NC policy (policy NCBCBS-CR-081299-25 CPN81191). Not a coverage decision; the payer's own document governs.

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Payer: Blue Cross NC
Policy number: NCBCBS-CR-081299-25 CPN81191
Line of business: Medicaid
Source: www.bcbsnc.com

All Blue Cross NC policies · Blue Cross NC prior authorization CPT list

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Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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