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
1/1/2020
Lamotrigine Products
11/15/2023
8/23/2023
LAMZEDE® (velmanase alfa-tycv)
8/16/2023
8/23/2023
LAMZEDE® (velmanase alfa-tycv)
8/16/2023
1/1/2020
Latuda® (lurasidone)
3/15/2023
1/1/2020
Ledipasvir/sofosbuvir
8/16/2023
1/1/2021
Ledipasvir/sofosbuvir
8/16/2023
1/1/2021
Lemtrada® (alemtuzumab) intravenous solution
4/19/2023
1/1/2022
Lenvima (lenvatinib)
4/19/2023
1/1/2024
Lenvima (lenvatinib)
7/19/2023
8/23/2023
Leqembi™ (lecanemab-irmb)
9/20/2023
6/22/2022
Leqvio® (inclisiran)
5/17/2023
1/1/2021
Letairis® (ambrisentan)
3/15/2023
1/1/2020
Leukine® (sargramostim/GM-CSF)
4/19/2023
1/1/2017
Leuprolide acetate
11/15/2023
4/17/2019
Levoleucovorin products (Fusilev, Khapzory)
2/15/2023
1/1/2023
Levoleucovorin products (Fusilev, Khapzory)
9/20/2023
1/1/2020
Levorphanol tartrate tablet
2/15/2023
1/1/2023
Levothyroxine Products
8/16/2023
1/1/2024
Levothyroxine Products
8/16/2023
12/12/2018
Lexette® (halobetasol) Topical Foam
11/15/2023
12/12/2018
Libtayo® (cemiplimab-rwlc)
3/15/2023
1/1/2020
Lidocaine 5% topical ointment
10/18/2023
1/1/2020
Lidocaine 5% topical patch
12/14/2022
1/1/2020
Lidocaine Patch 5% (Lidoderm®, DermacinRx® Lidocan™, Lidocan™ II)
8/31/2023
1/1/2022
Lifetime Dosing Limits
10/21/2021
1/1/2019
Limited Day Supply
3/23/2023
1/1/2023
Linzess® (linaclotide)
7/19/2023
1/1/2023
Liposomal doxorubucin
6/21/2023
9/27/2023
Litfulo™ (ritlecitinib)
9/20/2023
1/1/2022
Livalo® (pitavastatin)
5/17/2023
12/15/2021
Livmarli™ (maralixibat)
4/19/2023
1/19/2022
Livtencity (maribavir) tablet
1/18/2023
1/1/2023
Lokelma® (sodium zirconium cyclosilicate)
4/19/2023
1/1/2021
Long Acting Anticholinergics
3/15/2023
1/1/2022
Long Acting Anticholinergics
5/17/2023
1/1/2024
Long Acting Anticholinergics
6/21/2023
1/1/2021
Long Acting Beta Agonists
5/17/2023
1/1/2024
Long Acting Beta Agonists
6/21/2023
10/8/2021
Long Acting Insulins
10/18/2023
11/11/2020
Long Acting Insulins
4/19/2023
1/1/2024
Long Acting Insulins
7/19/2023
1/1/2019
Long Acting Muscarinic Antagonist / Long Acting Beta Agonist Combination Inhalers
5/17/2023
1/1/2021
Long Acting Muscarinic Antagonist / Long Acting Beta Agonist Combo Inhalers
5/17/2023
1/1/2021
Long Acting Opioids
2/15/2023
1/1/2022
Long Acting Opioids
2/15/2023
1/1/2024
Long Acting Opioids
9/20/2023
1/1/2020
Lonsurf® (trifluridine and tipiracil)
10/18/2023
1/1/2022
Lorbrena (lorlatinib)
5/17/2023
1/1/2024
Lorbrena (lorlatinib)
7/19/2023
9/22/2021
Loreev XR (lorazepam)
7/19/2023
11/3/2011
Lorzone® (chlorzoxazone)
9/21/2022
1/1/2023
Lotronex® (alosetron HCl)
5/17/2023
1/1/2018
Lovaza® (omega-3-acid ethyl esters)
2/15/2023
1/1/2020
Lucemyra® (lofexidine)
2/15/2023
1/1/2022
Lucentis® (ranibizumab)
4/19/2023
1/1/2024
Lucentis® (ranibizumab)
8/16/2023
8/20/2021
Lumakras (sotorasib)
6/21/2023
1/1/2024
Lumakras (sotorasib)
7/19/2023
1/1/2011
Lumizyme® (alglucosidase alpha)
11/15/2023
12/12/2018
Lumoxiti™ (moxetumomab pasudotox-tdfk)
4/19/2023
7/26/2023
Lumryz (sodium oxybate)
7/19/2023
7/26/2023
Lumryz (sodium oxybate)
7/19/2023
3/22/2023
Lunsumio (mosunetuzumab-axgb)
3/15/2023
1/30/2014
Lupaneta Pack® (leuprolide acetate and norethindrone acetate)
4/20/2022
5/19/2021
Lupkynis™ (voclosporin)
4/19/2023
1/1/2020
Lupron® (leuprolide acetate) and Generic Depot Products
11/15/2023
1/1/2020
Lutathera (lutetium Lu 177 dotatate)
6/15/2022
1/1/2020
Luxturna™ (voretigene neparvovec-rzyl)
2/15/2023
1/1/2024
Lybalvi (olanzapine and samidorphan)
11/15/2023
12/15/2021
Lybalvi™ (olanzapine and samidorphan)
8/16/2023
1/1/2023
Lynparza (olaparib)
10/18/2023
1/1/2020
Lyrica® CR (pregabalin)
7/19/2023
2/15/2023
Lytgobi (futibatinib)
1/19/2023
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