Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
7/19/2017 Radicava™ (edaravone)
2/16/2022
1/1/2018 Rapid-Acting Fentanyl products
3/16/2022
9/4/2014 Rasuvo® (methotrexate injection)
5/18/2022
1/1/2023 Rasuvo® (methotrexate injection)
5/18/2022
3/7/2013 Ravicti® (glycerol phenylbutyrate) oral liquid
10/19/2022
12/14/2016 Rayaldee® (calcifediol)
5/18/2022
1/1/2018 Rayos® (prednisone delayed-release)
1/19/2022
1/1/2022 Rayos® (prednisone delayed-release)
4/20/2022
1/15/2020 Reblozyl® (luspatercept-aamt)
2/16/2022
1/1/2019 Reclast® (zoledronic acid)
4/20/2022
4/27/2022 Recorlev® (levoketoconazole) Tablet
4/20/2022
1/1/2022 Reditrex® (methotrexate)
8/17/2022
1/1/2021 Regranex® (becaplermin)
9/22/2022
3/16/2022 Releuko (filgrastim-ayow)
3/10/2022
3/16/2022 Releuko (filgrastim-ayow)
3/10/2022
1/1/2019 Relistor® (methylnaltrexone)
1/19/2022
3/17/2021 Reltone™ (ursodiol capsule)
9/8/2022
1/1/2019 Remicade® (infliximab)
3/16/2022
1/1/2020 Remicade® (infliximab)
1/19/2022
1/1/2021 Remodulin® (treprostinil)
6/15/2022
1/1/2020 Renflexis (infliximab-abda)
1/19/2022
1/1/2019 Renflexis® (infliximab-abda)
1/19/2022
1/1/2022 Renflexis® (infliximab-abda)
11/16/2022
1/1/2023 Renflexis® (infliximab-abda)
11/16/2022
1/1/2020 Repatha® (evolocumab)
2/16/2022
7/8/2020 Retevmo™ (selpercatinib)
11/16/2022
1/1/2018 Retisert® (fluocinolone acetonide intravitreal implant)
9/21/2022
1/1/2021 Revatio® (sildenafil) IV
4/20/2022
1/1/2021 Revatio® (sildenafil) oral tab
4/20/2022
1/1/2021 Revatio® (sildenafil) Products
4/20/2022
1/1/2021 Revatio® (sildenafil) suspension
4/20/2022
1/1/2023 Revlimid (lenalidomida)
9/21/2022
1/1/2021 Revlimid® (lenalidomide)
3/16/2022
1/1/2022 Rexulti (brexpiprazole)
7/21/2022
1/1/2020 Rexulti® (brexpiprazole)
5/18/2022
3/18/2020 Reyvow™ (lasmiditan)
10/19/2022
9/1/2022 Reyvow™ (lasmiditan)
8/18/2022
10/8/2021 Rezurock (belumosudil)
9/21/2022
5/16/2018 Rhopressa® (netarsudil)
4/20/2022
10/14/2020 Rhopressa® (netarsudil), Rocklatan® (netarsudil and latanoprost)
4/20/2022
1/1/2022 Ridaura® (auranofin)
4/20/2022
1/1/2022 Rinvoq® (upadacitinib)
11/16/2022
1/1/2023 Rinvoq® (upadacitinib)
11/16/2022
1/1/2023 Risperidone Orally Disintegrating Tablets
7/20/2022
1/1/2021 Rituxan Hycela™ (rituximab/hyaluronidase)
4/20/2022
1/1/2021 Rituxan Hycela™ (rituximab/hyaluronidase)
4/20/2022
1/1/2023 Rituxan Hycela™ (rituximab/hyaluronidase)
8/17/2022
1/1/2023 Rituxan Hycela™ (rituximab/hyaluronidase)
8/17/2022
1/1/2021 Rituximab products
1/19/2022
1/1/2021 Rituximab products
7/20/2022
1/1/2023 Rituximab Products
7/20/2022
5/15/2019 Rocklatan® (netarsudil and latanoprost)
5/19/2021
1/1/2022 Rocklatan® (netarsudil and latanoprost)
7/20/2022
7/27/2022 RoxyBond™ tablet, oral ONLY (not feeding tubes)
7/20/2022
1/1/2020 Rozerem (ramelteon)
11/16/2022
11/1/2019 Rozlytrek™ (entrectinib)
10/19/2022
1/1/2022 Rubraca (rucaparib)
8/18/2021
1/1/2023 Rubraca (rucaparib)
7/20/2022
1/1/2022 Ruconest® (C1 esterase inhibitor, recombinant)
8/17/2022
1/1/2022 Ruconest® (C1 esterase inhibitor, recombinant)
8/17/2022
8/21/2019 Ruzurgi® (amifampridine)
3/16/2022
8/18/2021 Rybrevant (amivantamab-vmjw)
7/20/2022
1/1/2021 Rydapt® (midostaurin)
8/18/2021
9/15/2021 Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
9/15/2021
4/27/2022 Ryplazim® (plasminogen, human-tvmh)
4/20/2022
1/1/2023 Rytary® (carbidopa and levodopa) extended release capsules
6/15/2022
1/29/2015 Rytary™ (carbidopa and levodopa extended-release capsule)
9/8/2022

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