Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
3/18/2020 Padcev (enfortumab vedotin-ejfv)
3/16/2022
4/15/2020 Palforzia™ (peanut allergen powder)
3/16/2022
8/15/2018 Palynziq™ (pegvaliase-pqpz) Injection
9/21/2022
1/1/2016 Pancreatic Enzymes
10/19/2022
1/1/2020 Pancreatic Enzymes
10/19/2022
1/1/2022 Panretin® (alitretinoin)
4/20/2022
1/1/2019 Parsabiv® (etelcalcetide)
5/18/2022
1/1/2019 Pediatric Antipsychotic Utilization Program
3/16/2022
11/30/2022 Pedmark ® (sodium thiosulfate injection)
11/16/2022
1/1/2022 Pegasys (peginterferon alpha-2a)
8/17/2022
1/1/2014 Pegasys® (peginterferon alfa-2a)
8/17/2022
1/1/2014 PegIntron® (peginterferon alfa-2b)
1/6/2022
6/3/2020 Pemazyre™ (pemigatinib)
11/16/2022
4/27/2022 Pemetrexed Products
4/20/2022
1/1/2020 Pennsaid® (diclofenac topical solution)
3/16/2022
1/1/2021 Perforomist® (formoterol fumarate)
3/16/2022
1/1/2020 Perjeta® (pertuzumab)
5/18/2022
1/1/2020 Pexeva® (paroxetine mesylate)
5/18/2022
9/16/2020 Phesgo (pertuzumab, trastuzumab, and hyaluronidase-zzxf)
8/17/2022
1/1/2021 Phosphate Binding Agents
6/15/2022
1/1/2021 Phosphate Binding Agents
6/15/2022
8/21/2019 Piqray® (alpelisib)
5/18/2022
1/1/2021 Pliaglis® (lidocaine-tetracaine) cream
5/18/2022
6/22/2022 Pluvicto (lutetium Lu 177 vipivotide tetraxetan)
6/15/2022
8/21/2019 Polivy™ (polatuzumab vedotin-piiq)
6/15/2022
1/1/2023 Polivy™ (polatuzumab vedotin-piiq)
5/18/2022
1/1/2022 Pomalyst® (pomalidomide)
7/21/2021
1/1/2023 Ponvory® (ponesimod) tablet
6/15/2022
7/21/2021 Ponvory™ (ponesimod)
5/18/2022
1/1/2020 Portrazza™ (necitumumab)
5/18/2022
12/17/2015 Potassium Binding Agents
8/17/2022
10/17/2018 Poteligeo® (mogamulizumab-kpkc)
6/15/2022
1/1/2020 Praluent® (alirocumab)
2/16/2022
1/1/2017 Prandial and Intermediate Acting Insulins
3/16/2022
1/1/2022 Preferred Filgrastim Products - Neupogen (filgrastim), Nivestym (filgrastim-aafi), and Zarxio (filgrastim-sndz)
7/21/2021
1/1/2022 Preferred Filgrastim Products - Nivestym (filgrastim-aafi) and Zarxio (filgrastim-sndz)
7/20/2022
2/17/2021 Preferred Multiple Sclerosis Products
11/16/2022
1/1/2022 Preferred Multiple Sclerosis Products
11/16/2022
1/1/2022 Preferred Pegfilgrastim Products - Fulphila (pegfilgrastim-jmdb) and Udenyca (pegfilgrastim-cbqv)
7/21/2021
1/1/2022 Preferred Pegfilgrastim Products - Fulphila (pegfilgrastim-jmdb), Nyvepria (pegfilgrastim-apfg), and Ziextenzo (pegfilgrastim-bmez)
7/20/2022
1/1/2023 Preferred Filgrastim Products - Nivestym (filgrastim-aafi) and Zarxio (filgrastim-sndz)
8/17/2022
1/1/2023 Preferred Pegfilgrastim Products -  Neulasta (pegfilgrastim), Fulphila (pegfilgrastim-jmdb), and Udenyca (pegfilgrastim-cbqv)
8/17/2022
1/1/2022 Preferred Pegfilgrastim Products -  Neulasta (pegfilgrastim), Fulphila (pegfilgrastim-jmdb), and Udenyca (pegfilgrastim-cbqv)
10/20/2021
1/1/2023 Preferred Pegfilgrastim Products - Fulphila (pegfilgrastim-jmdb) and Udenyca (pegfilgrastim- cbqv)
8/17/2022
1/1/2023 Preferred Pegfilgrastim Products - Fulphila (pegfilgrastim-jmdb), Nyvepria (pegfilgrastim-apfg), and Ziextenzo (pegfilgrastim-bmez)
8/17/2022
7/30/2015 Prestalia® (perindopril-amlodipine)
3/16/2022
6/17/2020 Pretomanid
4/20/2022
1/1/2020 Previous Treatment/Prior Therapy/Trial
6/15/2022
2/21/2018 Prevymis™ (letermovir)
10/20/2021
1/23/2012 Prialt® (ziconotide intrathecal infusion)
9/21/2022
9/21/2016 Probuphine® (buprenorphine) Implant
3/16/2022
6/6/2013 Procysbi® (cysteamine)
11/16/2022
10/13/2006 Progesterone to Prevent Preterm Birth
3/16/2022
1/1/2021 Prolastin-C® (alpha-1 proteinase inhibitor)
3/16/2022
1/1/2023 Prolastin-C® (alpha-1 proteinase inhibitor)
10/6/2022
8/1/2014 Proleukin® (aldesleukin)
3/16/2022
1/1/2020 Prolia® (denosumab)
4/20/2022
1/1/2020 Prolia® (denosumab)
4/20/2022
1/1/2021 Promacta® (eltrombopag)
5/18/2022
1/1/2022 Inhibidores de la bomba de protones
6/15/2022
5/13/2010 Provenge® (sipuleucel-T)
2/16/2022
1/1/2016 Provigil® (modafinil)
3/16/2022
1/1/2017 Provigil® (modafinil)
3/16/2022
7/27/2022 Pyrukynd® (mitapivat)
7/20/2022
1/1/2023 Pyrukynd® (mitapivat)
10/6/2022

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