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Blue Shield moves infertility meds to pharmacy benefit; board hears member testimony of major out‑of‑pocket costs
Summary
Blue Shield told the Health Service Board it removed prior authorizations and moved infertility medications to the pharmacy benefit to improve access and pricing; a member said the change saved thousands and credited staff and commissioners for fixing prior denials.
Blue Shield of California told the San Francisco Health Service Board that it has restructured its infertility authorization and drug‑coverage process to reduce barriers to care and improve member access.
Sean Levering of Blue Shield said the carrier removed prior authorization and a diagnostic requirement for infertility services effective Nov.1, 2020, retrained providers, created a dedicated…
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