September 28, 2023
Effective December 1, 2023, the Select Medication List will be removed from our Provider website.
The List includes specific medications eligible for increased reimbursement over similar medications within the same drug class, when billed with the appropriate National Drug Code pricing information. The specific medications will continue to be covered but the pricing differential will be discontinued on December 1, 2023.
Reimbursement rates for these and all other specialty medications will continue to be updated monthly, as applicable. Contracted providers may continue to obtain the Reimbursement Schedule by using Availity’s Fee Schedule Tool.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.