This is an update to the previous post from April 3, 2024. For questions regarding Blue e, please contact the Blue e Help Desk Team by calling 888-333-8594, Option 1.
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is enhancing our ability to accept prior authorization drug requests electronically.
Impacted populations
- This change only impacts Commercial (including ACA) and Medicare (including Experience Health) populations.
- This change does not impact Medicaid, DSNP (Dual Eligible Special Needs Plans), or FEP (Federal Employee Program) populations.
Pharmacy drug requests
- You can submit pharmacy drug requests through your preferred method – MHK, CoverMyMeds (CMM), or SureScripts.
- A pharmacy drug request is a medication that will be billed under a member’s pharmacy benefit (most tablets, capsules, topicals, at-home injections administered by member, etc.; items available at a retail pharmacy).
Medical drug requests
- Medical drug requests should be submitted electronically only through MHK (accessed via Blue e).
- A medical drug request is a medication that will be billed under a member's medical benefit, including "buy and bill" scenarios (IV medications, injections administered in a provider’s office, etc.).
Training resources
- MHK has training resources available, including the MHK manual published as a resource in Blue e. MHK also has two instructional videos you can watch to learn more about navigating MHK:
- SureScripts has provider education available.
Questions?
- Please review the FAQs found here.
- If you have questions about this change, call 800-214-4844 for the Blue Cross NC Provider Blue Line.
- For questions regarding Blue e, please contact the Blue e Help Desk Team by calling 888-333-8594, Option 1.
- For any questions regarding the functionality in utilizing the MHK Provider Portal, please contact us.
- For CMM, use the chat feature on their website, Cover My Meds, or call 866-452-5017.
- For SureScripts, call their Customer Support line at 866-797-3239.
