Políticas de cobertura médica y de farmacia - Inicio

Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
7/19/2017 Radicava® and Radicava ORS® (edaravone)
1/18/2023
1/1/2024 Radicava® and Radicava ORS® (edaravone)
7/19/2023
1/1/2018 Rapid-Acting Fentanyl Products
11/15/2023
1/1/2023 Rasuvo® (methotrexate injection)
2/15/2023
3/7/2013 Ravicti® (glycerol phenylbutyrate) oral liquid
5/17/2023
12/14/2016 Rayaldee® (calcifediol)
4/19/2023
1/1/2018 Rayos® (prednisone delayed-release)
1/18/2023
1/1/2022 Rayos® (prednisone delayed-release)
4/19/2023
1/15/2020 Reblozyl® (luspatercept-aamt)
2/15/2023
1/25/2023 Rebyota™ (fecal microbiota, live-jslm)
1/18/2023
1/1/2019 Reclast® (zoledronic acid)
6/21/2023
4/27/2022 Recorlev® (levoketoconazole) Tablet
4/19/2023
1/1/2022 Reditrex® (methotrexate)
2/15/2023
1/1/2021 Regranex® (becaplermin)
9/20/2023
1/1/2019 Relistor® (methylnaltrexone)
12/14/2022
1/1/2024 Relistor® (methylnaltrexone)
6/21/2023
3/17/2021 Reltone™ (ursodiol capsule)
8/16/2023
2/22/2023 Relyvrio™ (sodium phenylbutyrate/taurursodiol)
2/15/2023
1/1/2024 Relyvrio™ (sodium phenylbutyrate/taurursodiol)
7/19/2023
1/1/2019 Remicade® (infliximab)
9/20/2023
1/1/2020 Remicade® (infliximab)
9/20/2023
1/1/2021 Remodulin® (treprostinil)
5/17/2023
1/1/2024 Remodulin® (treprostinil)
6/21/2023
1/1/2020 Renflexis (infliximab-abda)
9/20/2023
1/1/2022 Renflexis® (infliximab-abda)
9/20/2023
1/1/2023 Renflexis® (infliximab-abda)
9/20/2023
1/1/2020 Repatha® (evolocumab)
4/19/2023
7/8/2020 Retevmo™ (selpercatinib)
10/18/2023
1/1/2018 Retisert® (fluocinolone acetonide intravitreal implant)
8/16/2023
1/1/2021 Revatio® (sildenafil) IV
4/19/2023
1/1/2021 Revatio® (sildenafil) oral tab
4/19/2023
1/1/2021 Revatio® (sildenafil) Products
4/19/2023
1/1/2021 Revatio® (sildenafil) suspension
4/19/2023
1/1/2023 Revlimid (lenalidomida)
9/20/2023
1/1/2022 Rexulti (brexpiprazole)
8/31/2023
1/1/2024 Rexulti (brexpiprazole)
11/15/2023
3/18/2020 Reyvow™ (lasmiditan)
6/21/2023
9/1/2022 Reyvow™ (lasmiditan)
6/21/2023
1/1/2024 Reyvow™ (lasmiditan)
6/21/2023
2/22/2023 Rezlidhia (olutasidenib)
2/15/2023
10/8/2021 Rezurock (belumosudil)
9/20/2023
8/23/2023 Rezzayo Intravenous Solution
8/16/2023
8/23/2023 Rezzayo Intravenous Solution
8/16/2023
8/23/2023 Rezzayo Intravenous Solution
8/16/2023
5/16/2018 Rhopressa® (netarsudil)
10/18/2023
10/14/2020 Rhopressa® (netarsudil), Rocklatan® (netarsudil and latanoprost)
11/15/2023
1/1/2022 Ridaura® (auranofin)
4/19/2023
1/1/2024 Rinvoq (upadacitinib)
11/15/2023
1/1/2023 Rinvoq® (upadacitinib)
9/20/2023
1/1/2023 Risperidone Orally Disintegrating Tablets
6/21/2023
1/1/2021 Rituxan Hycela™ (rituximab/hyaluronidase)
4/19/2023
1/1/2023 Rituxan Hycela™ (rituximab/hyaluronidase)
8/17/2022
1/1/2023 Rituxan Hycela™ (rituximab/hyaluronidase)
5/17/2023
1/1/2021 Rituximab products
7/19/2023
1/1/2023 Rituximab Products
7/19/2023
1/1/2024 Rituximab products
8/16/2023
1/1/2022 Rocklatan® (netarsudil and latanoprost)
7/19/2023
1/1/2024 Rocklatan® (netarsudil and latanoprost)
9/20/2023
8/31/2023 Roctavian™ (valoctocogene roxaparvovec-rvox)
8/24/2023
1/1/2023 Rolvedon™ (eflapegrastim-xnst)
12/14/2022
1/1/2023 Rolvedon™ (eflapegrastim-xnst)
12/14/2022
1/1/2023 Rolvedon™ (eflapegrastim-xnst)
12/14/2022
7/27/2022 RoxyBond™ tablet, oral ONLY (not feeding tubes)
6/21/2023
1/1/2020 Rozerem (ramelteon)
11/15/2023
11/1/2019 Rozlytrek™ (entrectinib)
11/2/2023
1/1/2022 Rubraca (rucaparib)
5/17/2023
1/1/2023 Rubraca (rucaparib)
5/17/2023
1/1/2024 Ruconest (C1 esterase inhibitor, recombinant)
7/19/2023
1/1/2024 Ruconest (C1 esterase inhibitor, recombinant)
7/19/2023
1/1/2022 Ruconest® (C1 esterase inhibitor, recombinant)
7/19/2023
1/1/2022 Ruconest® (C1 esterase inhibitor, recombinant)
7/19/2023
8/18/2021 Rybrevant (amivantamab-vmjw)
6/21/2023
1/1/2021 Rydapt® (midostaurin)
8/16/2023
9/15/2021 Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
7/19/2023
4/27/2022 Ryplazim® (plasminogen, human-tvmh)
4/19/2023
11/22/2023 Rystiggo (rozanolixizumab-noli)
11/15/2023
1/1/2023 Rytary® (carbidopa and levodopa) extended release capsules
4/19/2023
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