Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
1/1/2013 Naglazyme® (galsulfase)
8/17/2022
1/1/2020 Nalocet® (oxycodone/acetaminophen) tablet
10/19/2022
1/1/2021 Naloxone Products (Evzio™, Kloxxado™, Zimhi™)
2/16/2022
1/1/2023 Naloxone Products (Kloxxado™, Zimhi™)
5/18/2022
1/1/2019 Namenda XR® (memantine hcl) extended-release capsules
3/16/2022
1/1/2019 Namenda® (memantine hcl)
3/16/2022
1/1/2019 Namzaric® (memantine and donepezil hcl) extended-release capsule
3/16/2022
1/1/2021 Nascobal® (cyanocobalamin)
6/15/2022
5/7/2015 Natpara® (parathyroid hormone)
9/1/2022
1/1/2023 Nebivolol (generic Bystolic)
9/21/2022
1/1/2021 Nebulized Beta Agonists
8/17/2022
1/1/2021 Nerlynx (neratinib)
7/20/2022
1/1/2022 Neupogen® (filgrastim)
7/20/2022
5/10/2012 Neupro® (rotigotine)
2/16/2022
1/1/2022 Nexavar (sorafenib)
7/20/2022
10/26/2022 Nexiclon™ XR (clonidine ER) tablet
10/19/2022
5/1/2021 Nexletol® (bempedoic acid)
9/21/2022
5/1/2021 Nexlizet™ (bempedoic acid-ezetimibe)
5/18/2022
10/20/2021 Nexviazyme™ (avalglucosidase alfa-ngpt) Injection
10/20/2021
10/20/2021 Nexviazyme™ (avalglucosidase alfa-ngpt) Injection
9/21/2022
1/1/2020 Niacin-containing agents
2/16/2022
1/1/2022 Ninlaro® (ixazomib)
8/18/2021
10/17/2018 Nocdurna® (desmopressin)
8/17/2022
1/1/2021 Nocdurna® (desmopressin)
8/17/2022
1/1/2021 Noctiva™ (desmopressin)
8/17/2022
1/1/2020 Non-Benzodiazepine Hypnotics
7/20/2022
6/3/2020 Non-FDA Approved Medications
5/18/2022
1/1/2019 Non-Formulary Exceptions
12/9/2021
1/1/2023 Non-Preferred GLP Analogs
9/21/2022
1/1/2022 Non-Preferred Multiple Sclerosis Interferons
6/15/2022
1/1/2022 Non-preferred Multiple Sclerosis Interferons
5/18/2022
1/1/2023 Non-Preferred Multiple Sclerosis Interferons
6/15/2022
1/1/2023 Non-Preferred Multiple Sclerosis Interferons
10/19/2022
1/1/2022 Non-Preferred Oral Multiple Sclerosis Agents
6/15/2022
1/1/2023 Non-Preferred Oral Multiple Sclerosis Products
10/19/2022
1/1/2022 Non-preferred Pegfilgrastim Products - Fylnetra (pegfilgrastim-pbbk), Neulasta (pegfilgrastim), Nyvepria (pegfilgrastim-apfg), and Ziextenzo (pegfilgrastim-bmez)
10/6/2022
1/1/2022 Non-preferred Pegfilgrastim Products - Fylnetra (pegfilgrastim-pbbk), Nyvepria (pegfilgrastim-apfg) and Ziextenzo (pegfilgrastim-bmez)
10/6/2022
1/1/2022 Non-preferred Pegfilgrastim Products - Neulasta (pegfilgrastim) and Udenyca (pegfilgrastim-cbqv)
7/20/2022
1/1/2023 Non-Preferred SGLT2
7/20/2022
1/1/2023 Non-Preferred Filgrastim Products - Neupogen (filgrastim) and Releuko (filgrastim-ayow)
8/17/2022
1/1/2023 Non-preferred Pegfilgrastim Products - Fylnetra (pegfilgrastim-pbbk), Neulasta (pegfilgrastim), Nyvepria (pegfilgrastim-apfg), and Ziextenzo (pegfilgrastim-bmez)
10/6/2022
1/1/2023 Non-preferred Pegfilgrastim Products - Fylnetra (pegfilgrastim-pbbk), Nyvepria (pegfilgrastim-apfg) and Ziextenzo (pegfilgrastim- bmez)
10/13/2022
1/1/2023 Non-preferred Pegfilgrastim Products - Neulasta (pegfilgrastim) and Udenyca (pegfilgrastim-cbqv)
8/17/2022
1/1/2016 Antihistamínicos no sedantes
5/18/2022
1/1/2017 Antihistamínicos no sedantes
5/18/2022
1/1/2023 Antihistamínicos no sedantes
5/18/2022
1/1/2021 Nonsteroidal Anti-Inflammatory Drug Products
10/19/2022
1/1/2022 Nonsteroidal Anti-Inflammatory Drug Products
10/19/2022
1/1/2023 Nonsteroidal Anti-Inflammatory Drug Products
5/18/2022
6/22/2022 Norliqva® (amlodipine) oral solution
6/15/2022
1/1/2018 Northera® (droxidopa)
2/16/2022
1/1/2022 Nourianz™ (istradefylline)
3/16/2022
1/1/2014 Novarel®, Pregnyl® (human chorionic gonadotropin)
8/17/2022
1/20/2017 NovoSeven® RT (Coagulation Factor VIIa [Recombinant])
11/16/2022
11/1/2006 Noxafil® (posaconazole)
8/17/2022
1/1/2021 Nplate® (romiplastim)
11/16/2022
1/1/2020 NSAID Combination Products
3/16/2022
1/1/2022 Nubeqa® (darolutamide)
11/16/2022
1/1/2022 Nubeqa® (darolutamide)
11/16/2022
1/1/2020 Nucynta® (tapentadol)
4/20/2022
1/1/2022 Nuedexta® (dextromethorphan and quinidine)
7/20/2022
6/16/2021 Nulibry™ (fosdenopterin)
5/18/2022
1/1/2020 Nulojix® (belatacept)
5/18/2022
1/1/2021 Nuplazid™ (pimavanserin)
8/17/2022
5/20/2020 Nurtec™ ODT (rimegepant)
7/20/2022
1/1/2022 Nurtec™ ODT (rimegepant)
6/15/2022
1/1/2018 Nuvigil® (armodafinil)
3/16/2022

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