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National Drug Code (NDC) Pricing Reminder

May 16, 2013

As of the June 1, 2013, NDC pricing effective date, professional/ancillary electronic (ANSI 837P) and paper (CMS-1500) claims for drugs must include NDC data in order to be accepted for processing by Blue Cross and Blue Shield of Illinois (BCBSIL). 

The NDC reimbursement fee schedule can be requested on or after May 24, 2013, by downloading the appropriate version of the Fee Schedule Request Form, available in the Forms section of our online Education and Reference Center. For NDC reimbursement fee schedule requests, select “National Drug Codes” at the top right of the form. 

For additional information, refer to the NDC Billing Guidelines  or Frequently Asked Questions . A link to our new NDC Billing Tutorial is available to BCBSIL contracted providers in the Claims and Eligibility/Claim Submission section, under Related Resources.* 

*When clicking on the tutorial link in the Claims and Eligibility/Claim Submission section of our Provider website, you may be redirected to the Secure Content page. Follow instructions to proceed, and then look for the NDC Billing Tutorial link in the Related Resources.