| BCBS Massachusetts | Pharmacy Specialty List | |
| BCBS Massachusetts | Preauthorization Request Form for 379 Surgical Management of Obesity Policy | |
| BCBS Massachusetts | Preauthorization Request Form for Gene Therapy for Inherited Retinal Dystrophy | |
| BCBS Massachusetts | Preventive Screening Tests | |
| BCBS Massachusetts | Prior Authorization Request Form for Adoptive Cell Therapies for Melanoma MP 089 | |
| BCBS Massachusetts | Prior Authorization Request Form for Adstiladrin (nadofaragene firadenovec-vncg) | |
| BCBS Massachusetts | Prior Authorization Request Form for CAR T-Cell Therapy Services for B-cell Acute Lymphoblastic Leukemia (tisagenlecleucel) MP 066 | |
| BCBS Massachusetts | Prior Authorization Request Form for CAR T-Cell Therapy Services for Follicular Lymphoma (Axicabtagene Ciloleucel) | |
| BCBS Massachusetts | Prior Authorization Request Form for CAR T-Cell Therapy Services for Mantle Cell Lymphoma (Brexucabtagene Autoleucel) MP 066 | |
| BCBS Massachusetts | Prior Authorization Request Form for CAR T-Cell Therapy Services for Non-Hodgkin Lymphoma (Lisocabtagene Maraleucel) | |