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BCBS Drug List Limitations, Exclusions,
and Preauthorization Criteria
The Blue Cross and Blue Shield of New Mexico (BCBS) Pharmacy Benefit provides coverage of most drugs for
our members. Effective
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How to fill out bcbsnm drug list limitations
How to fill out bcbsnm drug list limitations:
01
Obtain a copy of the bcbsnm drug list limitations form.
02
Review the list of drugs covered by bcbsnm to determine if your prescribed medication is included.
03
If your medication is not listed, check if any similar drugs are covered as alternatives.
04
Consult with your healthcare provider to discuss potential alternatives or request an exception if your prescribed medication is medically necessary.
05
Complete the form by providing your personal information, including name, member ID, and contact details.
06
Input the name and dosage of your prescribed medication in the designated fields.
07
If applicable, include any supporting documentation such as medical records or a letter of medical necessity.
08
Submit the completed form to bcbsnm by mail or electronically, following their preferred submission method.
Who needs bcbsnm drug list limitations:
01
Individuals who are enrolled in a health insurance plan provided by bcbsnm.
02
Those who require prescription medication coverage.
03
Patients who may need to seek exceptions for non-listed medications or explore alternative drug options.
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What is bcbsnm drug list limitations?
BCBSNM drug list limitations refer to the restrictions placed on the coverage of certain medications by Blue Cross Blue Shield of New Mexico.
Who is required to file bcbsnm drug list limitations?
Healthcare providers and pharmacies may be required to submit information regarding drug list limitations to BCBSNM.
How to fill out bcbsnm drug list limitations?
To fill out BCBSNM drug list limitations, healthcare providers and pharmacies must provide details on the restricted medications and any alternative options available.
What is the purpose of bcbsnm drug list limitations?
The purpose of BCBSNM drug list limitations is to manage costs and ensure the appropriate use of medications covered under the health plan.
What information must be reported on bcbsnm drug list limitations?
Information such as the name of the restricted medication, reason for restriction, and any prior authorization requirements must be reported on BCBSNM drug list limitations.
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