Medical providers
Medical Oncology Medications
Arkansas Blue Cross and Blue Shield utilizes Carelon Medical Benefits Management, an independent company, to provide prior authorization of health plan coverage for medical oncology medications for members of its individual and group plans.
For BlueMedicare members, please see Medicare Advantage
For Federal Employee Program (FEP) members, please see Specialty Pharmacy
Providers are required to secure a prior authorization for medical oncology medications. Providers may submit a request to Carelon Medical Benefits Management
How to understand which medications require a prior authorization through Carelon medical oncology program:
- Medical Oncology Medication list
- Review applicable coverage policy
- Oncology benefits management program is listed at the top of the policy