Políticas de cobertura médica y de farmacia

Fecha de vigencia	Policy Name	Reviewed Date
9/26/2018	Galafold®(migalastat)	6/21/2023
4/23/2019	Gamifant® (emapalumab-lzsg)	2/15/2023
7/15/2015	Gardasil® (human papillomavirus vaccine)	2/15/2023
1/1/2019	Gattex® (teduglutide)	11/15/2023
11/11/2020	Gavreto™ (pralsetinib)	9/20/2023
1/1/2020	Gazyva® (obinutuzumab)	5/25/2023
1/1/2022	Gilenya® (fingolimod)	6/21/2023
1/1/2020	Gilotrif® (afatinib)	3/15/2023
1/20/2021	Gimoti™ (metoclopramide)	11/15/2023
3/18/2020	Givlaari® (givosiran)	11/15/2023
1/1/2021	Glatiramer Products	6/21/2023
1/1/2020	Gleevec (mesilato de imatinib)	5/17/2023
1/1/2020	Gleostine® (lomustine)	1/12/2023
1/1/2021	Gloperba® (colchicine) Oral Solution	2/15/2023
1/1/2021	Gloperba® (colchicine) Oral solution	2/15/2023
1/1/2023	Gloperba® (colchicine) Oral solution	2/15/2023
1/1/2019	GLP-1 Analogs	5/17/2023
11/6/2019	Glucagon Products	5/17/2023
6/1/2022	Glucagon Products	5/17/2023
8/19/2020	GnRH Receptor Antagonists (Myfembree®, Oriahnn™)	8/16/2023
1/1/2022	Gocovri® (amantadine) extended-release capsules	2/15/2023
1/1/2020	Gralise® (gabapentin)	10/18/2023
1/1/2022	Granix® (tbo-filgrastim)	7/19/2023
1/1/2021	Growth Hormone (Hormona del crecimiento)	9/20/2023
1/1/2022	Growth Hormone (Hormona del crecimiento)	9/20/2023

Políticas de cobertura de farmacia