Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
2/17/2021 Danyelza® (naxitamab-gqgk)
2/16/2022
2/23/2022 Dartisla ODT (glycopyrrolate)
2/16/2022
1/1/2022 Darzalex Faspro™ (daratumumab and hyaluronidase- fihj)
8/17/2022
1/1/2022 Darzalex® (daratumumab)
8/17/2022
1/16/2019 Daurismo™ (glasdegib)
11/16/2022
1/1/2022 Dayvigo™ (lemborexant)
7/21/2022
1/1/2022 Deferasirox Products
11/10/2022
1/1/2022 Deferasirox Products
6/15/2022
1/1/2023 Deferasirox Products
11/16/2022
1/1/2023 Deferasirox Tablet
8/17/2022
1/1/2022 Defitelio® (defibrotide sodium)
10/19/2022
1/1/2022 Desmopressin Nasal Spray
7/21/2022
1/1/2020 Desvenlafaxine Containing Products
5/18/2022
1/1/2022 Dexchlorpheniramine oral solution
5/18/2022
1/1/2023 Dexilant® (dexlansoprazole)
6/15/2022
1/1/2016 Diabetic Test Strips and Meters
9/21/2022
1/1/2017 Diabetic Test Strips and Meters
9/21/2022
5/15/2019 Diacomit® (stiripentol)
11/16/2022
1/1/2023 Diacomit® (stiripentol)
11/16/2022
1/1/2022 Differin® (adapalene) and Epiduo® (adapalene and benzoyl peroxide)
6/15/2022
1/1/2023 Differin® (adapalene) and Epiduo® (adapalene and benzoyl peroxide)
6/15/2022
1/1/2022 Dihydroergotamine Products
10/19/2022
9/2/2020 Dojolvi™ (triheptanoin) Oral Liquid
7/20/2022
1/1/2021 Dopamine Agonists
9/21/2022
1/1/2023 Dopamine Agonists
9/21/2022
9/26/2018 Doptelet® (Avatrombopag)
5/18/2022
1/1/2021 Doxycycline Antibiotics
7/20/2022
1/1/2020 DPP-IV inhibitors
3/16/2022
1/1/2021 DPP-IV inhibitors
3/16/2022
1/1/2021 DPP-IV, SGLT2 Combination Products
3/16/2022
1/1/2021 DPP-IV, SGLT2 Combination Products
3/16/2022
1/1/2023 DPP-IV, SGLT2 Combination Products
7/20/2022
1/1/2014 Dronabinol (GENERIC)
2/16/2022
1/1/2014 Dronabinol containing products (BRAND)
2/16/2022
1/24/2019 Drug Management Program-Opioid Program
11/3/2022
8/28/2010 Drug Utilization Management and Clinical Edits Tools
2/16/2022
1/1/2015 Duavee® (conjugated estrogens/bazedoxifene tablet)
3/16/2022
1/1/2020 Duexis® (ibuprofen-famotidine)
3/16/2022
1/1/2021 Duexis® (ibuprofen-famotidine) tablet
4/20/2022
10/16/2019 Duloxetine Containing Products
10/19/2022
1/1/2021 Duobrii® (halobetasol propionate and tazarotene)
6/15/2022
1/1/2022 Duopa® (carbidopa and levodopa) enteral suspension
3/16/2022
4/21/2021 Dupixent® (dupilumab) injection
11/16/2022
1/1/2022 Dupixent® (dupilumab) injection
11/16/2022
10/15/2015 Durlaza® (aspirin extended-release)
2/16/2022
8/19/2020 Durysta™ (bimatoprost implant)
4/20/2022
9/29/2006 Dysport® (botulinum toxin)
5/18/2022
1/1/2023 Dysport® (botulinum toxin)
8/17/2022

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