Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
6/16/2021 Abecma® (idecabtagene vicleucel)
4/20/2022
6/16/2021 Abecma® (idecabtagene vicleucel)
4/20/2022
1/1/2023 Abecma® (idecabtagene vicleucel)
9/22/2022
12/12/2018 Abilify MyCite® (aripiprazole tablets with sensor)
3/16/2022
12/12/2018 Abilify MyCite® (aripiprazole tablets with sensor)
3/16/2022
1/1/2021 Abilify® (aripiprazole)
8/17/2022
1/1/2023 Abraxane (nab- paclitaxel)
5/18/2022
1/1/2023 Abraxane (nab) paclitaxel
9/22/2022
1/1/2023 Abraxane (nab) paclitaxel
5/18/2022
1/1/2021 Abraxane (nab-paclitaxel)
11/16/2022
1/1/2021 Abraxane (nab-paclitaxel)
11/16/2022
7/21/2021 Accrufer™ (ferric maltol)
5/18/2022
1/1/2019 Actemra® (tocilizumab) Intravenous
3/16/2022
1/1/2019 Actemra® (tocilizumab) Intravenous
3/16/2022
1/1/2022 Actemra® (tocilizumab) Subcutaneous
3/16/2022
1/1/2022 Actemra® (tocilizumab) Subcutaneous
3/16/2022
1/1/2020 Actemra® IV (tocilizumab)
3/16/2022
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)
2/16/2022
4/27/2022 Adbry™ (tralokinumab-ldrm)
4/20/2022
9/1/2011 Adcetris® (brentuximab vedotin)
2/16/2022
1/1/2021 Adempas® (riociguat)
4/20/2022
1/1/2022 ADHD Long Acting Stimulants
11/16/2022
7/27/2022 Adlarity® (donepezil) transdermal patch
7/20/2022
12/15/2021 Aduhelm (aducanumab-avwa)
4/20/2022
4/27/2022 Aduhelm™ (aducanumab-avwa)
4/20/2022
1/1/2020 Aemcolo® (rifamycin)
11/16/2022
1/1/2023 Aemcolo® (rifamycin)
6/15/2022
1/1/2022 Afinitor/Afinitor Disperz (everolimus)
7/20/2022
1/1/2023 Afinitor/Afinitor Disperz (everolimus)
5/18/2022
12/31/2014 Afrezza® (insulin human) Inhalation Powder
3/16/2022
1/1/2017 Aggrenox® (aspirin/dipyridamole)
1/19/2022
5/26/2022 AHCA Continuity of Care
5/19/2022
1/1/2021 Aklief® (trifarotene)
6/15/2022
1/1/2023 Aklief® (trifarotene)
6/15/2022
1/1/2020 Akynzeo (fosnetupitant/netupitant-palonosetron)
6/15/2022
1/1/2013 Aldurazyme® (laronidase)
9/21/2022
1/1/2022 Alecensa (alectinib)
6/15/2022
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
3/16/2022
1/1/2020 Allergy Ophthalmics
5/18/2022
1/1/2019 Aloxi (palonosetron)
8/17/2022
1/1/2016 Alpha-1 Proteinase Inhibitors (Aralast NP®, Glassia®)
10/19/2022
1/1/2021 Alpha-1 Proteinase Inhibitors (Aralast NP®, Glassia®, Zemaira®)
3/16/2022
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)
8/17/2022
1/1/2019 Amitiza® (lubiprostone)
1/19/2022
1/1/2019 Amitiza® (lubiprostone)
1/19/2022
1/1/2023 Amitiza® (lubiprostone)
5/18/2022
6/16/2021 Amondys 45 (casimersen)
10/19/2022
1/1/2020 Ampyra® (dalfampridine) extended-release tablets
11/16/2022
1/1/2020 Amrix®, Fexmid® (cyclobenzaprine hydrochloride)
4/20/2022
9/28/2022 Amvuttra™ (vutrisiran)
9/21/2022
1/1/2023 Amzeeq (minocycline) topical foam
6/15/2022
1/1/2021 Amzeeq® (minocycline) topical foam
6/15/2022
1/1/2020 Angiotensin Blocking & Renin Inhibitor Agents
6/15/2022
1/1/2022 Angiotensin Blocking Agents
6/15/2022
1/1/2023 Angiotensin Blocking Agents
7/20/2022
1/1/2019 Angiotensin-Calcium Channel Blocking Agents
1/19/2022
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
3/16/2022
1/1/2020 Apadaz® (benzhydrocodone and acetaminophen)
4/20/2022
1/1/2022 APOKYN® (apomorphine hydrochloride injection)
3/16/2022
1/1/2020 Aptiom® (eslicarbazepine acetate)
2/16/2022
1/1/2022 Aranesp® (darbepoetin alfa)
11/16/2022
1/1/2023 Aranesp® (darbepoetin alfa)
7/20/2022
4/3/2008 Arcalyst® (rilonacept)
3/16/2022
1/1/2020 Arikayce® (liposomal amikacin for inhalation)
2/16/2022
1/1/2017 Arzerra® (ofatumumab)
3/16/2022
12/11/2019 Asparlas™ (calaspargase pegol-mknl)
11/16/2022
1/1/2019 Asthma Interleukin Inhibitors (Cinqair® , Nucala™, Fasenra®)
9/21/2022
1/1/2013 Atgam® (antithymocyte immune globulin, equine)
7/20/2022
1/1/2022 Aubagio® (teriflunomide)
5/18/2022
1/1/2023 Aubagio® (teriflunomide) tablet
6/15/2022
1/1/2021 Auryxia® (ferric citrate)
3/16/2022
1/1/2022 Auryxia® (ferric citrate)
3/16/2022
1/1/2023 Auryxia® (ferric citrate)
5/18/2022
1/1/2022 Austedo® (deutetrabenazine)
10/19/2022
11/30/2022 Auvelity™ (dextromethorphan and bupropion)
11/16/2022
6/17/2020 Avsola® (infliximab-axxq)
1/19/2022
6/17/2020 Avsola® (infliximab-axxq)
1/19/2022
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)
3/16/2022
1/1/2022 Azilect® (rasagiline)
3/16/2022
1/1/2014 Azopt® (brinzolamide ophthalmic suspension) 1%
5/18/2022
1/1/2019 Azopt® (brinzolamide ophthalmic suspension) 1%
11/16/2022

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