• P = Professional
  • B = Behavioral health
  • F = Facilities

Pharmacy

P F
Aug 1, 2020
The following codes are being added to Medicare MDR with a 10/1/20 effective date (effective 10/1/20...
P F
Jun 1, 2020
Due to the COVID-19 pandemic, BCBSRI has extended all clinical authorization approvals by Prime Ther...
P F
May 1, 2020
Effective May 1, 2020, Lifespan employee group will begin covering medical specialty drugs under the...
P F
May 1, 2020
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P F
Dec 1, 2019
As part of the annual formulary development and management process, the next scheduled update of the...
P B F
Oct 1, 2019
As part of our standard formulary management process of implementing formulary updates twice per yea...
P F
Oct 1, 2019
Effective December 1, 2019, BCBSRI will begin requiring prior authorization for an expanded list of ...
P F
Aug 1, 2019
As of October 1, 2019, for commercial members, the drugs listed below will move from the specialty p...
P
Aug 1, 2019
Effective July 1, 2019, both PCSK-9 products for cholesterol management—Repatha and Praluent—became ...
P
May 1, 2019
Pharmacy benefit coverage for Commercial members will be updated effective May 1, 2019 to include co...
P
Apr 1, 2019
The BCBSRI Commercial formulary for April is now available. You can view the summary that provides d...
P
Mar 1, 2019
Consistent with our management practice, April 1, 2019 is the next scheduled update of the BCBSRI Co...
P
Mar 1, 2019
Effective April 1, 2019, coverage of Radicava will change from the specialty pharmacy benefit to the...
P B F
Jan 1, 2019
In order to meet these deadlines, all relevant clinical information must be provided at the time a d...
P F
Jan 1, 2019
BCBSRI is informing the provider community about a recent CMS guideline change regarding opioid use ...
P B
Dec 1, 2018
In our ongoing efforts to make high-quality and affordable healthcare available to our members, BCBS...
P B
Oct 1, 2018
Consistent with our management practice, October 1, 2018 marked the next scheduled update of the BCB...
P B F
Sep 1, 2018
Effective October 1, 2018, the BCBSRI Pharmacy Formulary will be updated to remove the generic equiv...