Medical Injectables Program

Horizon Blue Cross Blue Shield of New Jersey is committed to providing your patients, our members, with access to high-quality health care services that are consistent with nationally recognized clinical criteria and guidelines.

As part of that commitment, Horizon BCBSNJ collaborates with Magellan Rx Management, a specialty pharmaceutical management company to administer our Medical Injectables Program (MIP). Magellan Rx Management conducts medical necessity and appropriateness reviews (MNARs) for specific injectable medications.

• List of injectable medications and HCPCS codes that are subject to medical necessity and appropriateness review

Access our medical policies manual to view clinical criteria and guidelines related to the medical injectables.

Medical Injectables Program FAQs.

The Quick Start Guide is step-by-step instructions to help ordering physicians and their staff obtain medical necessity determinations for the specialty medical injectable medications quickly and easily using ICORE’s website.

For additional information, view the Quick Reference Guide. The QRG includes all the high-level information you need to know about Horizon BCBSNJ’s MIP. Download a copy today and keep it handy.