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Oral Oncology
Blue Cross & Blue Shield of Mississippi·MS · Oncology, Hematology·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their comprehensive oral oncology medication policy covering over 100 oral cancer drugs including quantity limits and coverage requirements. This is a fresh 1-day old policy that establishes current formulary guidelines and quantity dispensing limits for oral oncology medications.
Action Required
Immediately: Billing team must perform formulary drug searches on patient member IDs before prescribing any oral oncology medications listed in this policy to verify coverage under specific benefit plans. Update prior authorization workflows to check quantity limits for each medication (e.g., Afinitor 2.5mg limited to 30 tablets/30 days). Medications may not be covered under all member benefit plans despite being in the medical policy.