Asset Publisher

Provider-Administered Oncology Drug Policies

Provider-administered drugs require that a member’s medical condition meets the policy requirements prior to being given (precertification).

Providers must submit a request through Magellan Rx for pre-service review in order to be approved. If the provider does not receive approval for precertification, the plan will pay no benefits.

Precertification for these provider-administered drugs is required when administered in a provider’s office, outpatient facility or home health setting; however, this precertification does not apply to inpatient hospital claims at this time.

Note: Coverage is subject to the member's specific benefits. Group-specific benefits will supersede these policies when applicable. Always check eligibility and benefits through your local Blue Plan provider portal or your practice management system to confirm member-specific benefits.

To request a copy of a drug policy, members can contact Customer Service by calling the number on their ID card.

Browse Policies by Category

Use the navigation on the left to expand the menu and browse specific medical or drug policies by category.

Search Policies

Use the search function above to find medical or drug policies by name, number or keyword.

Provider-Administered Oncology Drugs Precertification

Precertification through Magellan Rx is required for provider-administered oncology drugs. 

How to submit a precertification request to Magellan Rx:


Go to your local plan's provider portal to initiate pre-service review (Electronic Provider Access) for these services for out-of-area members. Contact your local Blue Plan for more information on how to access this functionality in your local provider portal.

By Phone

  • Call Magellan Rx at 1-800-424-8270
  • Urgent requests must be called in to Magellan Rx. Do not submit urgent requests online.