Amondys 45^™ and Evkeeza^™ will require authorization for commercial members

Blue Cross Blue Shield of Michigan and Blue Care Network are adding prior authorization requirements for the following drugs covered under the medical benefit:

• Amondys 45 (casimersen), HCPCS codes J3490 and J3590
• Evkeeza (evinacumab-dgnb), HCPCS codes J3490 and J3590

This change will affect Blue Cross commercial and BCN commercial members.

To learn more about this change, see the detailed provider alert (PDF).

Posted: March 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network