Políticas de cobertura médica y de farmacia - Inicio

Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
9/19/2018 Macrilen™ (macimorelin)
6/21/2023
5/19/2021 Margenza™ (margetuximab-cmkb)
4/19/2023
1/1/2023 Mavenclad® (cladribine)
5/17/2023
1/1/2023 Mavenclad® (cladribine)
9/20/2023
1/1/2024 Mavenclad® (cladribine)
9/20/2023
1/1/2024 Mavenclad® (cladribine)
7/19/2023
1/1/2021 Mavyret™ (glecaprevir/pibrentasvir)
8/16/2023
1/1/2021 Mavyret™ (glecaprevir/pibrentasvir)
8/16/2023
9/22/2021 Mavyret™ (glecaprevir/pibrentasvir)
8/16/2023
1/1/2023 Mayzent® (siponimod) tablet
5/17/2023
6/19/2019 Medical Necessity Determinations
10/12/2023
1/1/2023 Medical Necessity Determinations
10/12/2023
12/1/2022 Medical Necessity Determinations
10/12/2023
6/21/2012 Medication Waste
2/16/2023
1/1/2016 Megace® ES (megestrol acetate)
10/18/2023
1/1/2021 Mekinist® (trametinib)
7/19/2023
1/1/2021 Mekinist® (trametinib)
7/19/2023
9/28/2022 Meloxicam oral suspension
8/16/2023
1/1/2019 Memantine Products
2/15/2023
10/11/2012 Member Cost-Share Waiver: Contraceptives
2/15/2023
12/13/2017 Mepsevii™ (vestronidase alfa-vjbk)
8/16/2023
1/1/2020 Metaxalone tablet
2/15/2023
11/23/2022 Methocarbamol tablet
10/18/2023
1/1/2023 Methotrexate Injection (Otrexup®, Rasuvo®)
2/15/2023
1/1/2023 Methotrexate Injection (Otrexup®, Reditrex®)
2/15/2023
8/23/2023 Miebo™ (perfluorohexyloctane ophthalmic solution)
8/16/2023
8/23/2023 Miebo™ (perfluorohexyloctane ophthalmic solution)
8/16/2023
1/1/2022 Mircera® (methoxy polyethylene glycol-epoetin beta)
10/18/2023
1/1/2017 Modafinil
3/15/2023
1/1/2017 Modafinil
3/15/2023
1/1/2020 Molindone hydrochloride
11/15/2023
10/14/2020 Monjuvi® (tafasitamab-cxix)
8/16/2023
1/1/2023 Motegrity® (prucalopride)
5/17/2023
1/1/2024 Motegrity® (prucalopride)
6/21/2023
11/22/2023 Motpoly XR (lacosamide extended release)
11/15/2023
10/17/2018 Mulpleta® (lusutrombopag)
8/16/2023
8/24/2007 Multi-Source Brands
4/19/2023
1/1/2020 Mupirocin Topical Cream
1/18/2023
1/1/2023 Muscle Relaxants
7/19/2023
5/8/2014 Myalept® (metreleptin)
1/18/2023
1/1/2017 Myalept® (metreleptin)
1/18/2023
10/14/2020 Mycapssa® (octreotide) delayed-release capsules
4/19/2023
8/18/2021 Myfembree® (relugolix, estradiol, and norethindrone acetate)
8/16/2023
1/1/2020 Mylotarg® (gemtuzumab ozogamicin)
3/15/2023
1/1/2023 Myobloc® (botulinum toxin)
8/16/2023
1/1/2024 Myobloc® (rimabotulinumtoxinB)
8/31/2023
1/1/2022 Myrbetriq® and Myrbetriq® Granules (mirabegron)
7/19/2023
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