Oakland Southfield Physicians

OSP News

BCN/BCBSM Online Prior Authorization Tool for Medical Specialty Drugs

Posted: 01/08/2019

Utilizing the NovoLogix tool for submitting Medical Drug Prior Authorization requests allows BCN/BCBSM to ensure these medications are being used properly, safely, and offer the members the best opportunity for a positive outcome. The drugs targeted for this program are often expensive and have very specific uses.

NovoLogix allows practitioners (or their authorized representatives) to enter in a prior authorization request by answering patient-specific questions and submitting to BCN/BCBSM via the online tool. BCN/BCBSM clinical pharmacists and analysts have developed and implemented evidence-based protocols within the NovoLogix system to trigger the following:

  • Auto-approvals, or
  • Cases are pended and sent straight to pharmacists to review

This tool is embedded in BCN/BCBSM Provided Secured Services Web-DENIS.

Several advantages to using NovoLogix include:

  • Potential for auto-approvals
  • Cases sent immediately to pharmacist for review
  • Quicker turnaround times (<1 day versus ~3 days)
  • Online/real time tracking

Commonly requested drugs through Novologix include:

  • Botox
  • Remicade
  • Xolair
  • Prolia
  • Entyvio

Click here for instructions on how to sign up for access to NovoLogix. Click here to view the Provider Packet for BCN/BCBSM Medical Drug Authorizations. 

To arrange an office visit for more information on the NovoLogix provider portal, please email Kristy Sarantos.

 

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