New Prior Authorization Requirement for Infant Formula, Effective August 1, 2012
For members up to 12 months of age, Blue Cross Blue Shield of Massachusetts will require prior authorization before coverage will be provided for infant formula purchased from a pharmacy with a prescription. The prior authorization process will confirm that the member meets the medical policy guidelines for coverage. This policy applies to all commercial products with a pharmacy benefit. Coverage for members 12 months and over will continue to require prior authorization.