Coverage Exclusion of Non-FDA Approved Medications for Commercial, Exchange, Essential Plan, and Child Health Plus Members
We have identified several medications on our formularies that are non-FDA approved products.
Telemedicine and Telehealth Administrative Policy 22 Part II Effective May 24, 2021
Excellus BlueCross BlueShield is implementing the following administrative policy effective May 24, 2021, to define the coverage and billing guidelines for Telemedicine and Telehealth Part II billed by providers contracted to provide this service. You can access the individual policies. Note: You must log in with your username and password to access our administrative policies.
Certain Continuous Glucose Monitoring Systems Available at Retail Pharmacy
Continuous Glucose Monitoring Systems (CGMS) are a medical benefit that previously required a Durable Medical Equipment (DME) provider for processing. We are notifying you that we have made recent changes that now allow certain CGMS products to process at a retail pharmacy.
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