Políticas de cobertura médica y de farmacia - Inicio

Políticas de cobertura de farmacia

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Fecha de vigenciaPolicy NameReviewed Date
1/1/2019 Ibandronate Sodium Injections
6/21/2023
1/1/2023 Ibrance (palbociclib)
5/17/2023
1/1/2023 Ibrance (palbociclib)
5/17/2023
1/1/2024 Ibrance (palbociclib)
6/21/2023
7/27/2022 Ibsrela® (tenapanor)
7/19/2023
1/1/2024 Ibsrela® (tenapanor)
9/20/2023
1/1/2022 Iclusig® (ponatinib)
5/17/2023
1/1/2023 Icosapent Ethyl (generic Vascepa)
8/16/2023
1/1/2020 Idhifa® (enasidenib)
5/17/2023
5/24/2023 Igalmi™ (dexmedetomidine)
5/17/2023
8/6/2009 Ilaris® (canakinumab)
2/15/2023
11/22/2023 Ilumya® (tildrakizumab)
9/20/2023
11/22/2023 Ilumya® (tildrakizumab)
9/20/2023
11/22/2023 Ilumya™ (tildrakizumab)
9/20/2023
4/2/2015 Iluvien® (fluocinolone acetonide intravitreal implant)
8/16/2023
1/1/2022 Imbruvica® (ibrutinib)
5/17/2023
7/6/2017 Imfinzi (durvalumab)
2/15/2023
2/15/2023 Imjudo (tremelimumab-actl)
1/19/2023
1/1/2020 Imlygic™ (talimogene laherparepvec)
3/16/2022
1/1/2022 Inbrija® (levodopa) capsule for inhalation
6/21/2023
1/1/2022 Inbrija® (levodopa) capsule for inhalation
6/21/2023
11/23/2005 Increlex® (mecasermin injection)
7/19/2023
1/1/2023 Inflectra ® (infliximab-dyyb)
9/20/2023
1/1/2019 Inflectra® (infliximab-dyyb)
9/20/2023
1/1/2022 Infliximab intravenous solution
9/20/2023
8/19/2015 Influenza Virus Vaccine
8/17/2022
1/1/2022 Ingrezza® (valbenazine)
9/20/2023
1/1/2016 Inhaled Anticholinergics
5/17/2023
9/28/2022 Inhaled Corticosteroid and Long Acting Beta Agonists
9/20/2023
1/1/2024 Inhaled Corticosteroid and Long-Acting Beta Agonist (ICS/LABA) Inhalers
7/19/2023
1/1/2024 Inhaled Corticosteroid and Long-Acting Beta Agonist (ICS/LABA) Inhalers
7/19/2023
1/1/2017 Inhaled Corticosteroids
5/17/2023
1/1/2024 Inhaled Corticosteroids
7/19/2023
1/1/2023 Inhaled Corticosteroids - Long Acting Beta Agonists Inhalers
8/16/2023
1/1/2022 Inlyta (axitinib)
6/21/2023
1/1/2024 Inlyta (axtinib)
6/21/2023
8/23/2023 Inpefa™ (sotagliflozin)
8/16/2023
9/16/2020 Inqovi® (decitabine and cedazuridine)
8/16/2023
10/18/2019 Inrebic® (fedratinib)
8/16/2023
4/15/2020 Insulin Aspart Products
2/15/2023
1/1/2023 Intranasal Rhinitis Agents
9/20/2023
1/1/2023 Intranasal Rhinitis Agents
10/19/2022
1/1/2024 Intranasal Rhinitis Agents
9/20/2023
1/1/2022 Intravenous Iron Products
4/19/2023
1/1/2024 Intravenous Iron Products
9/20/2023
1/1/2020 Intron A® (interferon alfa-2b)
6/15/2022
1/1/2016 Intuniv® (guanfacine extended-release tablets)
11/15/2023
1/1/2020 Invega® (paliperidone extended release)
3/15/2023
1/1/2021 Invega® (paliperidone extended release)
3/15/2023
1/1/2024 Iressa (gefitinib)
7/19/2023
1/1/2020 Iressa® (gefitnib)
3/15/2023
1/1/2023 Istodax (romidepsin)
4/19/2023
9/16/2020 Isturisa® (osilodrostat)
7/19/2023
1/1/2022 IVIG (Immune Globulin)
2/15/2023
1/1/2024 IVIG (immune globulin)
6/21/2023
1/1/2017 Ixempra® (ixabepilone)
3/15/2023
9/27/2023 Izervay™ (avacincaptad pegol)
9/20/2023
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