BCN/BCBSM Online Prior Authorization Tool for Medical Specialty Drugs
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:
To arrange an office visit for more information on the NovoLogix provider portal, please email Kristy Sarantos.