Blue drug authorization 2025

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Medicare Part D - Federal retirees and employees will likely not benefit from enrolling in Part D as they already have comprehensive drug coverage through their FEHB plan. However, retirees with limited resources may want to consider enrolling in Part D if they qualify for extra financial help under the Part D program.
With MPDP, you will have additional approved prescription drugs in some tiers, get lower out-of-pocket costs for higher-cost drugs and have a cap on the amount you pay out-of-pocket on prescriptions annually.
The FEP Medicare Prescription Drug Program, or MPDP, is a prescription drug benefit exclusively for Blue Cross and Blue Shield Federal Employee Program (FEP) members eligible for Medicare. Its part of your Blue Cross and Blue Shield Service Benefit Plan coverage.
Go to the Avalon website to get started. PAS Portal This is Avalons prior authorization system (PAS). If you do not have an account, request one here. Phone: 844-227-5769. Fax: 813-751-3760 Submit the Preauthorization Request Form along with supporting documentation.
However, starting January 1, 2025, BCBS health insurance changed coverage of Glucagon-like peptide 1 (GLP-1) medications like Wegovy and Zepbound. The insurance has downgraded the medications to a different coverage tier. The drugs people got for $25 per month are now increased to between $600 and $700 per month.

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Depending on the type of care you require, you may need pre-approval (in the form of a prior authorization, precertification or both). We review the service or treatment to ensure it is medically necessary. If you do not obtain pre-approval, there may be a reduction or denial of your benefit.

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