Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
1/1/2021 Obesity Medications
7/20/2022
1/20/2017 Obizur [antihemophilic (recombinant), porcine sequence]
11/16/2022
1/1/2020 Ocaliva® (obeticholic acid)
2/16/2022
1/1/2023 Ocaliva® (obeticholic acid)
9/21/2022
1/1/2022 Ocrevus® (ocrelizumab)
10/19/2022
1/1/2022 Ocrevus® (ocrelizumab)
5/18/2022
1/1/2022 Ocrevus® (ocrelizumab)
11/17/2021
1/1/2023 Ocrevus® (ocrelizumab) Intravenous Solution
6/15/2022
1/1/2023 Ocrevus® (ocrelizumab) intravenous solution
10/19/2022
8/19/2020 Octreotide Products
5/18/2022
10/29/2015 Odomzo® (sonidegib)
1/19/2022
1/1/2021 Ofev® (nintedanib)
8/17/2022
1/1/2023 Olinvyk® (olicerdine)
5/18/2022
7/1/2022 Olumiant® (baricitinib)
6/23/2022
7/1/2022 Olumiant® (baricitinib)
6/23/2022
1/1/2018 Oncaspar® (pegaspargase)
3/16/2022
1/1/2020 Onfi® (clobazam)
3/16/2022
12/9/2020 Ongentys® (opicapone) capsules
9/21/2022
1/20/2016 Onivyde ® (liposomal irinotecan)
9/21/2022
1/1/2023 Onpattro® (patisiran)
7/20/2022
11/7/2018 Onpattro™ (patisiran)
10/20/2021
11/11/2020 Onureg™ (azacitidine)
9/21/2022
1/1/2023 Opdivo (nivolumab)
7/20/2022
1/1/2020 Opdivo® (nivolumab)
7/20/2022
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
2/16/2022
1/1/2020 Ophthalmic Antibiotics
2/16/2022
1/1/2017 Ophthalmic Beta Blockers
7/20/2022
1/1/2019 Ophthalmic Beta Blockers
7/20/2022
1/1/2022 Ophthalmic Cyclosporine (Cequa™, generic Restasis)
3/16/2022
1/1/2020 Ophthalmic Non-Steroidal Anti-Inflammatory Drugs
4/20/2022
1/1/2020 Ophthalmic Non-Steroidal Anti-Inflammatory Drugs
4/20/2022
1/1/2019 Ophthalmic Prostaglandins
5/18/2022
1/1/2021 Ophthalmic Prostaglandins
5/18/2022
1/1/2023 Ophthalmic Prostaglandins
5/18/2022
1/1/2020 Ophthalmic Steroids
2/16/2022
1/1/2020 Ophthalmic Steroids
2/16/2022
1/1/2023 Ophthalmic Cyclosporine (Cequa™, generic Restasis)
5/18/2022
1/1/2023 Ophthalmic Cyclosporine (Cequa™, generic Restasis)
5/18/2022
9/5/2018 Opioid Days' Supply Limitation
2/16/2022
1/1/2019 Opioid Days' Supply Limitation
10/27/2022
1/1/2022 Opioid Days' Supply Limitation
12/2/2021
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
10/19/2022
2/1/2021 Opioid Utilization Program - Concurrent Use of Opioids and Benzodiazepines (COB) edits
10/20/2021
1/1/2021 Opioid Utilization Program - Morphine Milligram Equivalent (MME) edits
10/27/2022
1/1/2021 Opioid Utilization Program - Morphine Milligram Equivalents (MME) edits
5/18/2022
7/1/2021 Opioid Utilization Program - Morphine Milligram Equivalents (MME) edits
5/18/2022
2/2/2022 Opsumit® (macitentan)
1/27/2022
1/26/2022 Opzelura™ (ruxolitinib)
10/19/2022
1/1/2019 Oracea® (doxycycline)
7/20/2022
1/1/2020 Oral Acne Antibiotics
1/19/2022
1/1/2022 Oral Acne Antibiotics
6/15/2022
1/1/2021 Oral Isotretinoin Products
6/15/2022
1/1/2021 Oral Penicillamine Products
2/16/2022
1/1/2014 Oral tretinoin (tretinoin capsule)
3/16/2022
1/1/2019 Orencia® (abatacept) Intravenous
1/19/2022
1/1/2022 Orencia® (abatacept) Subcutaneous
2/16/2022
1/1/2022 Orencia® (abatacept) Subcutaneous
5/18/2022
1/1/2020 Orencia® IV (abatacept)
1/19/2022
1/1/2022 Orencia® IV (abatacept)
1/19/2022
7/1/2020 Orenitram® (treprostinil)
4/20/2022
1/1/2022 Orenitram® (treprostinil)
4/20/2022
1/1/2019 Orfadin® (nitisinone)
4/20/2022
1/1/2023 Orgovyx (relugolix) tablets
5/18/2022
3/17/2021 Orgovyx (relugolix) tablets
3/16/2022
2/1/2021 Oriahnn™ (elagolix, estradiol, and norethindrone acetate)
1/19/2022
10/17/2018 Orilissa™ (elagolix)
7/20/2022
1/1/2021 Orilissa™ (elagolix)
7/21/2021
8/27/2015 Orkambi® (lumacaftor/ivacaftor)
1/6/2022
12/23/2020 Orladeyo™ (berotralstat)
8/17/2022
6/19/2019 Orphenadrine Products
2/16/2022
10/14/2020 Ortikos™ (budesonide)
8/18/2021
6/20/2018 Osmolex™ (amantadine)
2/16/2022
1/1/2022 Otezla® (apremilast)
5/18/2022
1/1/2023 Otezla® (apremilast)
10/6/2022
1/1/2022 Otic Antibiotics
6/15/2022
1/1/2019 Overactive Bladder Agents
3/16/2022
1/1/2022 Overactive Bladder Agents
8/17/2022
3/6/2019 Oxandrin® (oxandrolone)
10/19/2022
1/1/2016 Oxandrolone
10/19/2022
1/1/2020 Oxaydo® (oxycodone HCL)
3/16/2022
5/8/2020 Oxbryta™ (voxelotor)
1/19/2022
1/16/2019 Oxervate™ (cenegermin) ophthalmic solution
7/20/2022
1/1/2021 Oxistat® (oxiconazole)
7/20/2022
4/21/2021 Oxlumo® (lumasiran)
11/16/2022
1/1/2020 Oxtellar XR® (oxcarbazepine, extended release)
2/16/2022
1/1/2022 Oxycodone-Acetaminophen Products
7/20/2022
1/1/2020 OxyContin® (oxycodone hydrochloride controlled-release)
5/18/2022
1/1/2020 OxyContin® (oxycodone hydrochloride controlled-release)
5/18/2022
10/14/2009 Ozurdex® (dexamethasone intravitreal implant)
6/15/2022

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