Políticas de cobertura médica y de farmacia - Inicio
Políticas de cobertura médica y de farmacia - Inicio
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Políticas de cobertura de farmacia
Resultados de la búsqueda
Fecha de vigencia
Policy Name
Reviewed Date
1/1/2021
Obesity Medications
7/19/2023
1/20/2017
Obizur [antihemophilic (recombinant), porcine sequence]
11/15/2023
1/1/2023
Ocaliva® (obeticholic acid)
9/20/2023
1/1/2024
Ocaliva® (obeticholic acid)
6/21/2023
1/1/2022
Ocrevus® (ocrelizumab)
8/16/2023
1/1/2023
Ocrevus® (ocrelizumab)
9/20/2023
1/1/2024
Ocrevus® (ocrelizumab)
8/16/2023
1/1/2024
Ocrevus® (ocrelizumab)
7/19/2023
1/1/2023
Ocrevus® (ocrelizumab) Intravenous Solution
4/19/2023
8/19/2020
Octreotide Products
4/19/2023
1/1/2024
Octreotide Products
8/16/2023
10/29/2015
Odomzo® (sonidegib)
10/18/2023
1/1/2021
Ofev® (nintedanib)
8/16/2023
1/1/2024
Ofev® (nintedanib)
8/16/2023
11/8/2023
Ojjaara (momelotinib)
11/2/2023
1/1/2023
Olinvyk® (olicerdine)
7/19/2023
7/1/2022
Olumiant® (baricitinib)
9/20/2023
7/1/2022
Olumiant® (baricitinib)
9/20/2023
1/1/2018
Oncaspar® (pegaspargase)
3/16/2023
1/1/2020
Onfi® (clobazam)
2/15/2023
1/1/2024
Onfi® (clobazam)
7/19/2023
12/9/2020
Ongentys® (opicapone)
9/20/2023
1/20/2016
Onivyde ® (liposomal irinotecan)
9/20/2023
1/1/2023
Onpattro® (patisiran)
6/21/2023
11/11/2020
Onureg™ (azacitidine)
9/20/2023
1/1/2023
Opdivo (nivolumab)
11/15/2023
4/13/2022
Opdualag (nivolumab and relatlimab-rmbw)
4/7/2022
1/1/2023
Opdualag (nivolumab and relatlimab-rmbw)
9/22/2022
1/1/2020
Ophthalmic Antibiotics
10/18/2023
1/1/2020
Ophthalmic Antibiotics
11/15/2023
1/1/2024
Ophthalmic Antibiotics
9/20/2023
1/1/2017
Ophthalmic Beta Blockers
7/19/2023
1/1/2019
Ophthalmic Beta Blockers
7/19/2023
1/1/2024
Ophthalmic Beta Blockers
9/20/2023
1/1/2020
Ophthalmic Non-Steroidal Anti-Inflammatory Drugs
11/15/2023
1/1/2020
Ophthalmic Non-Steroidal Anti-Inflammatory Drugs
10/18/2023
1/1/2019
Ophthalmic Prostaglandins
8/31/2023
1/1/2021
Ophthalmic Prostaglandins
5/18/2022
1/1/2023
Ophthalmic Prostaglandins
8/31/2023
1/1/2024
Ophthalmic Prostaglandins
8/31/2023
1/1/2020
Ophthalmic Steroids
11/15/2023
1/1/2020
Ophthalmic Steroids
11/15/2023
1/1/2024
Ophthalmic Steroids
6/21/2023
1/1/2023
Ophthalmic Cyclosporine (Cequa™, generic Restasis)
4/19/2023
1/1/2023
Ophthalmic Cyclosporine (Cequa™, generic Restasis)
3/15/2023
1/1/2019
Opioid Days' Supply Limitation
10/12/2023
1/1/2022
Opioid Days' Supply Limitation
10/12/2023
1/1/2023
Opioid Days' Supply Limitation
10/27/2022
11/3/2021
Opioid Days' Supply Limitation - Florida Statute 456.44(5)(a) Prescription Supply Limits
10/12/2023
1/1/2023
Opioid Reversal Agents (Kloxxado™, Opvee®, Zimhi™)
8/31/2023
2/1/2021
Opioid Utilization Program - Concurrent Use of Opioids and Benzodiazepines (COB) edits
10/12/2023
1/1/2021
Opioid Utilization Program - Morphine Milligram Equivalent (MME) edits
2/9/2023
1/1/2021
Opioid Utilization Program - Morphine Milligram Equivalents (MME) edits
11/30/2023
7/1/2021
Opioid Utilization Program - Morphine Milligram Equivalents (MME) edits
5/18/2022
2/2/2022
Opsumit® (macitentan)
1/18/2023
1/26/2022
Opzelura™ (ruxolitinib)
9/20/2023
1/1/2019
Oracea® (doxycycline)
7/19/2023
1/1/2020
Oral Acne Antibiotics
1/18/2023
1/1/2022
Oral Acne Antibiotics
5/17/2023
1/1/2021
Oral Isotretinoin Products
5/17/2023
1/1/2021
Oral Penicillamine Products
1/18/2023
1/1/2014
Oral tretinoin (tretinoin capsule)
3/16/2022
1/1/2020
Orencia® (abatacept) Intraveneous
9/20/2023
1/1/2022
Orencia® (abatacept) Intraveneous
9/20/2023
1/1/2019
Orencia® (abatacept) Intravenous
9/20/2023
1/1/2022
Orencia® (abatacept) Subcutaneous
9/20/2023
1/1/2022
Orencia® (abatacept) Subcutaneous
9/20/2023
7/1/2020
Orenitram® (treprostinil)
4/19/2023
1/1/2022
Orenitram® (treprostinil)
4/19/2023
1/1/2023
Orgovyx (relugolix) tablets
5/18/2022
2/1/2021
Oriahnn™ (elagolix, estradiol, and norethindrone acetate)
1/18/2023
10/17/2018
Orilissa™ (elagolix)
7/19/2023
1/1/2021
Orilissa™ (elagolix)
7/19/2023
1/1/2024
Orladeyo (berotralstat)
7/19/2023
12/23/2020
Orladeyo™ (berotralstat)
7/19/2023
6/19/2019
Orphenadrine Products
11/15/2023
4/19/2023
Orserdu (elacestrant)
3/30/2023
10/14/2020
Ortikos™ (budesonide)
5/17/2023
6/20/2018
Osmolex ER™ (amantadine) extended-release tablets
1/18/2023
1/1/2020
Osphena® (ospemifene)
3/15/2023
1/1/2023
Otezla® (apremilast)
9/20/2023
1/1/2022
Otic Antibiotics
5/17/2023
1/1/2019
Overactive Bladder Agents
3/15/2023
1/1/2022
Overactive Bladder Agents
7/19/2023
3/6/2019
Oxandrin® (oxandrolone)
10/18/2023
1/1/2016
Oxandrolone
10/18/2023
1/1/2020
Oxaydo® (oxycodone HCL)
11/15/2023
5/8/2020
Oxbryta™ (voxelotor)
1/18/2023
1/16/2019
Oxervate™ (cenegermin) ophthalmic solution
5/17/2023
1/1/2021
Oxistat® (oxiconazole)
7/19/2023
4/21/2021
Oxlumo® (lumasiran)
11/15/2023
1/1/2020
Oxtellar XR® (oxcarbazepine extended release)
11/15/2023
1/1/2022
Oxycodone-Acetaminophen Products
7/19/2023
1/1/2020
OxyContin® (oxycodone hydrochloride controlled-release)
2/15/2023
1/1/2020
OxyContin® (oxycodone hydrochloride controlled-release)
6/21/2023
10/14/2009
Ozurdex® (dexamethasone intravitreal implant)
4/19/2023
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