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September 2018

Michigan Carpenters’ Health, Saginaw Plumbers and Pipe Fitters U.A. Local 85 join Medical Drug Prior Authorization Program, starting Oct. 1

Starting on Oct. 1, 2018, Michigan Carpenters’ Health, Saginaw Plumbers and Pipe Fitters U.A. Local 85 groups will join the Medical Drug Prior Authorization Program.

Use web-DENIS to learn more about the program:

  1. Log in to web-DENIS.
  2. Click BCBSM Provider Publications and Resources.
  3. Select Newsletters and Resources.
  4. Click Forms (within the Other Resources menu on the left side of the screen).
  5. Click on Physician administered medications.

Keep in mind that the prior-authorization requirement doesn’t apply to Federal Employee Program® members.

Current drugs in the medical drug prior authorization program, include:

Drugs

Actemra®

Flebogamma® DIF

Privigen®

Acthar® gel

Gammagard Liquid®

Prolastin®-C

Adagen®

Gammagard® S/D

Prolia®

Aldurazyme®

Gammaked®

Radicava™

Aralast NP™

Gammaplex®

Remicade®

Aveed®

Gamunex®

Ruconest®

Benlysta®

Glassia™

Signifor® LAR

Berinert®

Hizentra®

Simponi Aria®

Bivigam™

HyQvia®

Soliris®

Botox®

Ilaris®

Spinraza™

Brineura™

Ilumya™

Stelara®

Carimune® NF

Immune globulin

Stelara IV®

Cerezyme®

Inflectra™

Synagis®

Cimzia®

Kalbitor®

Testopel®

Cinqair®

Kanuma™

Trogarzo™

Cinryze®

Krystexxa®

Vimizim™

Cosentyx™

Lumizyme®

Vpriv®

Crysvita®

Luxturna™

Xeomin®

Cuvitru®

Makena®

Xgeva®

Dysport®

Mepsevii™

Xiaflex®

Elaprase®

Myobloc®

Xolair®

Elelyso™

Myozyme®

Yescarta®

Entyvio™

Naglazyme®

Zemaira®

Exondys 51™

Nplate®

Zilretta®

Fabrazyme®

Nucala®

Zinplava™

Fasenra™

Octagam®

Firazyr®

Orencia®

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.