Políticas de cobertura médica y de farmacia - Inicio
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Resultados de la búsqueda
Políticas de cobertura de farmacia
Resultados de la búsqueda
Fecha de vigencia
Policy Name
Reviewed Date
6/16/2021
Abecma® (idecabtagene vicleucel)
4/19/2023
6/16/2021
Abecma® (idecabtagene vicleucel)
4/19/2023
1/1/2023
Abecma® (idecabtagene vicleucel)
4/19/2023
12/12/2018
Abilify MyCite® (aripiprazole tablets with sensor)
3/15/2023
12/12/2018
Abilify MyCite® (aripiprazole tablets with sensor)
3/15/2023
1/1/2021
Abilify® (aripiprazole)
8/17/2022
1/1/2023
Abraxane (nab- paclitaxel)
5/17/2023
1/1/2023
Abraxane (nab) paclitaxel
9/22/2022
1/1/2023
Abraxane (nab) paclitaxel
5/17/2023
7/21/2021
Accrufer™ (ferric maltol)
5/17/2023
1/1/2019
Actemra® (tocilizumab) Intravenous
3/15/2023
1/1/2019
Actemra® (tocilizumab) Intravenous
3/15/2023
1/1/2022
Actemra® (tocilizumab) Subcutaneous
3/15/2023
1/1/2022
Actemra® (tocilizumab) Subcutaneous
3/15/2023
1/1/2020
Actemra® IV (tocilizumab)
3/15/2023
1/1/2006
Actimmune® (interferon gamma-1b)
8/17/2022
1/1/2022
Actinic Keratosis Agents
8/17/2022
5/8/2020
Adakveo® (crizanlizumab-tmca)
2/15/2023
4/27/2022
Adbry™ (tralokinumab-ldrm)
4/19/2023
9/1/2011
Adcetris® (brentuximab vedotin)
2/16/2022
1/1/2021
Adempas® (riociguat)
3/15/2023
1/1/2022
ADHD Long Acting Stimulants
11/16/2022
7/27/2022
Adlarity® (donepezil) transdermal patch
4/19/2023
12/15/2021
Aduhelm™ (aducanumab-avwa) intravenous solution
3/15/2023
4/27/2022
Aduhelm™ (aducanumab-avwa) intravenous solution
3/15/2023
1/1/2023
Aemcolo® (rifamycin)
3/15/2023
1/1/2022
Afinitor/Afinitor Disperz (everolimus)
7/20/2022
1/1/2023
Afinitor/Afinitor Disperz (everolimus)
5/17/2023
12/31/2014
Afrezza® (insulin human) Inhalation Powder
3/15/2023
1/1/2017
Aggrenox® (aspirin/dipyridamole)
1/18/2023
5/26/2022
AHCA Continuity of Care
5/19/2022
1/1/2023
Aklief® (trifarotene)
5/17/2023
1/1/2020
Akynzeo (fosnetupitant/netupitant-palonosetron)
5/17/2023
1/1/2013
Aldurazyme® (laronidase)
9/21/2022
1/1/2022
Alecensa (alectinib)
5/17/2023
1/1/2014
Alferon N® (interferon alfa-n3)
3/16/2022
12/20/2017
Aliqopa™ (copanlisib)
8/17/2022
12/9/2020
Alkindi® (hydrocortisone) sprinkle capsule
10/19/2022
1/1/2019
Allergy Ophthalmics
12/14/2022
1/1/2020
Allergy Ophthalmics
12/14/2022
1/1/2019
Aloxi (palonosetron)
2/23/2023
1/1/2016
Alpha-1 Proteinase Inhibitors (Aralast NP®, Glassia®)
10/19/2022
1/1/2023
Alpha-1 Proteinase Inhibitors (Aralast NP®, Glassia®, Zemaira®)
10/6/2022
1/1/2016
Alpha-1 Proteinase Inhibitors (Prolastin-C®, Zemaira®)
10/19/2022
1/1/2015
Alphagan® P (brimonidine)
7/20/2022
7/20/2017
Alunbrig™ (brigatinib)
12/14/2022
1/1/2023
Amitiza® (lubiprostone)
5/17/2023
6/16/2021
Amondys 45 (casimersen) intravenous solution
3/15/2023
1/1/2020
Ampyra® (dalfampridine) extended-release tablets
11/16/2022
1/1/2020
Amrix®, Fexmid® (cyclobenzaprine hydrochloride)
2/15/2023
9/28/2022
Amvuttra™ (vutrisiran)
9/21/2022
1/1/2023
Amzeeq (minocycline) topical foam
5/17/2023
1/1/2020
Angiotensin Blocking & Renin Inhibitor Agents
5/17/2023
1/1/2023
Angiotensin Blocking Agents
5/17/2023
1/1/2019
Angiotensin-Calcium Channel Blocking Agents
1/18/2023
1/1/2022
Anticholinergics and Central Nervous System Polypharmacy Agents
8/17/2022
1/1/2020
Antidepressant Agents
11/16/2022
1/1/2019
Antipsychotic Utilization Program
3/15/2023
1/1/2020
Apadaz® (benzhydrocodone and acetaminophen)
2/15/2023
1/1/2022
APOKYN® (apomorphine hydrochloride) subcutaneous injection
1/18/2023
1/1/2020
Aptiom® (eslicarbazepine acetate) tablets
12/14/2022
1/1/2023
Aranesp® (darbepoetin alfa)
7/20/2022
4/3/2008
Arcalyst® (rilonacept)
2/15/2023
1/1/2020
Arikayce® (liposomal amikacin for inhalation)
2/15/2023
12/11/2019
Asparlas™ (calaspargase pegol-mknl)
11/16/2022
1/1/2019
Asthma Interleukin Inhibitors (Cinqair® , Nucala™, Fasenra®)
5/17/2023
1/1/2013
Atgam® (antithymocyte immune globulin, equine)
7/20/2022
1/1/2023
Aubagio® (teriflunomide) tablet
3/16/2023
1/1/2023
Auryxia® (ferric citrate)
3/15/2023
1/1/2022
Austedo® & Austedo® XR (deutetrabenazine)
5/17/2023
11/30/2022
Auvelity™ (dextromethorphan and bupropion)
3/2/2023
6/17/2020
Avsola® (infliximab-axxq)
1/18/2023
1/1/2023
Avsola® (infliximab-axxq)
11/16/2022
1/1/2022
Avsola™ (infliximab-axxq)
11/16/2022
3/4/2020
Ayvakit™ (avapritinib)
8/17/2022
10/17/2018
Azedra® (iobenguano I 131)
3/15/2023
1/1/2022
Azilect® (rasagiline) tablets
1/18/2023
1/1/2019
Azopt® (brinzolamide ophthalmic suspension) 1%
11/16/2022
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