Políticas de cobertura médica y de farmacia

Fecha de vigencia	Policy Name	Reviewed Date
1/1/2024	Haegarda (C1 esterase inhibitor, human)	7/19/2023
1/1/2022	Haegarda® (C1 esterase inhibitor, human)	7/19/2023
1/1/2017	Halaven® (eribulin mesylate)	3/15/2023
1/1/2019	Helicobacter Pylori Agents	4/19/2023
1/1/2023	Helicobacter Pylori Agents	4/19/2023
1/1/2024	Helicobacter Pylori Agents	6/21/2023
12/9/2020	Hemady™ (dexamethasone tablet)	11/15/2023
6/1/2023	Hemgenix (etranacogene dezaparvovec-drlb)	5/25/2023
1/1/2020	Hemlibra® (emicizumab-kxwh)	3/15/2023
1/1/2023	Herceptin Hylecta (trastuzumab and hyaluronidase-oysk)	5/17/2023
1/1/2023	Herceptin Hylecta (trastuzumab and hyaluronidase-oysk)	5/17/2023
1/1/2019	Hetlioz® and Hetlioz LQ™ (tasimelteon)	2/9/2023
1/1/2018	Horizant® (gabapentin enacarbil)	6/21/2023
1/1/2022	Humira® (adalimumab)	5/17/2023
9/28/2022	Hyftor™ (sirolimus topical gel)	9/20/2023
1/1/2023	Hypomethylating agents (azacitidine, decitabine)	8/16/2023

Políticas de cobertura de farmacia