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Blue Cross asks committee to remove ‘formulary’ language from clinical criteria definition

2288145 · February 12, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

A Blue Cross Blue Shield of North Dakota representative asked lawmakers to remove the terms “drug formulary” and “covered drug list” from the statutory definition of clinical criteria, saying those items are pharmacy policy and not part of clinical criteria.

A representative of Blue Cross Blue Shield of North Dakota asked the Senate Industry and Business Committee to remove the phrases “drug formulary” and “covered drug list” from the statutory definition of clinical criteria.

Megan Ruby of Blue Cross Blue Shield told the committee that formularies and covered-drug lists are part of pharmacy policy…

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