Blue Cross NC policy
Specialty Pharmacy Precertification List Expanded
Specialty Pharmacy Precertification List Expanded is a public Blue Cross NC policy (policy NCBCBS-CR-084098-25-CPN83702, effective Nov 1, 2025). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Blue Cross NC
- Policy number
- NCBCBS-CR-084098-25-CPN83702
- Effective
- Nov 1, 2025
- Line of business
- Medicaid
- Source
- www.bcbsnc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross NC policies |
|---|---|
| C9399 | Policies naming C9399 |
| J3490 | Policies naming J3490 |
| J9999 | Policies naming J9999 |
All Blue Cross NC policies · Blue Cross NC prior authorization CPT list