Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
1/1/2020 Sabril® (vigabatrin)
2/16/2022
1/1/2020 Sabril® (vigabatrin)
2/16/2022
1/1/2021 Samsca® (tolvaptan)
10/20/2021
1/1/2022 Sancuso (granisetron) Transdermal
8/18/2021
1/1/2022 Sandostatin® S.C., Sandostatin LAR® Depot (octreotide acetate for injection)
5/18/2022
1/1/2021 Santyl (collagenase)
8/18/2022
12/15/2021 Saphnelo™ (anifrolumab-fnia)
11/16/2022
1/1/2020 Saphris® (asenapine)
3/16/2022
1/1/2022 Sarclisa (isatuximab-irfc)
8/18/2021
1/22/2015 Savaysa® (edoxaban)
10/19/2022
1/1/2019 Savella® (milnacipran)
3/16/2022
12/15/2021 Scemblix® (asciminib)
5/18/2022
6/17/2020 Scenesse® (afamelanotide)
2/16/2022
3/25/2020 Secuado (asenapine) Transdermal System
3/16/2022
3/23/2022 Seglentis® (celecoxib-tramadol)
3/16/2022
1/1/2020 Seroquel XR® (quetiapine fumarate) extended release tablets
3/16/2022
1/1/2020 Serostim® (somatropin)
4/20/2022
1/1/2021 SGLT2 Inhibitors
3/16/2022
1/1/2022 SGLT2 Inhibitors
5/18/2022
1/17/2018 Shingrix (zoster vaccine recombinant, adjuvanted)
3/16/2022
2/20/2019 Short Acting Beta Agonists
10/19/2022
3/21/2013 Signifor® (pasireotide)
5/18/2022
1/1/2020 Signifor® LAR (pasireotide)
2/16/2022
1/1/2023 Signifor® LAR (pasireotide)
9/22/2022
12/14/2018 Siklos® (hydroxyurea)
2/16/2022
1/1/2022 Siliq® (brodalumab) injection
5/18/2022
1/1/2022 Siliq® (brodalumab) injection
5/18/2022
5/2/2013 Simbrinza™ (brinzolamide/brimonidine ophthalmic suspension)
6/15/2022
1/1/2019 Simponi ARIA (golimumab)
4/20/2022
1/1/2022 Simponi® (golimumab)
5/18/2022
1/1/2022 Simponi® (golimumab)
5/18/2022
3/21/2018 Sinuva™ (mometasone furoate) sinus implant
3/16/2022
5/2/2013 Sirturo® (bedaquiline)
11/16/2022
5/22/2014 Sitavig® (acyclovir)
10/19/2022
11/22/2022 Site of Care and Specialty Medication Sourcing for Injectable Drugs
11/17/2022
1/1/2023 Site of Care and Specialty Medication Sourcing for Injectable Drugs
11/17/2022
1/1/2022 Skyrizi® (risankizumab-rzaa)
7/20/2022
7/7/2019 Smart Maintenance Dose
4/20/2022
4/20/2022 Soaanz® (torsemide)
4/20/2022
1/1/2021 Sofosbuvir/velpatasvir
8/17/2022
9/22/2021 Sofosbuvir/velpatasvir
8/17/2022
1/1/2020 Soliris® (eculizumab)
6/15/2022
2/21/2018 Solosec™ (secnidazole)
11/16/2022
1/1/2019 Somatuline® Depot (lanreotide)
2/16/2022
1/1/2006 Somavert® (pegvisomant)
9/1/2022
1/1/2023 Somavert® (pegvisomant)
6/15/2022
1/1/2021 Soriatane® (acitretin)
8/17/2022
1/1/2021 Sovaldi® (sofosbuvir)
8/18/2022
1/1/2022 Sovaldi® (sofosbuvir)
8/18/2022
11/23/2022 Spevigo® (spesolimab-sbzo)
11/16/2022
1/1/2021 Spinraza® (nusinersen) injection
7/20/2022
5/15/2019 Spravato™ (esketamine) Nasal Spray
8/17/2022
1/1/2020 Spritam® (levetiracetam)
10/19/2022
1/1/2020 Sprix® (ketorolac tromethamine) nasal spray
3/16/2022
1/1/2022 Sprycel® (dasatinib)
5/18/2022
1/1/2022 Sprycel® (dasatinib)
5/18/2022
1/1/2022 Statin Products
3/16/2022
1/1/2022 Statin Products
3/16/2022
1/1/2022 Stelara® (ustekinumab)
9/21/2022
1/1/2022 Stivarga (regorafenib)
8/17/2022
1/1/2023 Stivarga (regorafenib)
10/6/2022
3/17/2021 Strensiq® (asfotase alfa)
3/16/2022
2/15/2017 Sublingual Allergen Extract
7/20/2022
1/1/2022 Sublingual Allergen Extract
6/15/2022
1/1/2020 Sublocade™ (buprenorphine extended-release) injection
6/9/2022
1/1/2022 Sucraid® (sacrosidase)
8/17/2022
9/18/2019 Sunosi™ (solriamfetol)
8/17/2022
1/1/2022 Sunosi™ (solriamfetol)
8/17/2022
1/1/2023 Sunosi™ (solriamfetol)
8/17/2022
1/1/2023 Sunosi™ (solriamfetol)
8/17/2022
8/28/2008 Supprelin® LA (histrelin acetate implant)
8/17/2022
1/1/2019 Sustol® (granisetron)
8/17/2022
3/16/2022 Susvimo™ (ranibizumab)
3/16/2022
1/1/2022 Sutent (sunitinib)
8/17/2022
1/1/2023 Sutent (sunitinib)
5/18/2022
1/1/2020 Sylatron™ (peginterferon alfa-2b)
6/15/2022
6/12/2014 Sylvant® (siltuximab)
2/16/2022
3/21/2018 Symdeko® (tezacaftor-ivacaftor)
1/19/2022
1/1/2023 Sympazan®(clobazam) Oral Film
7/20/2022
1/16/2019 Sympazan™(clobazam) Oral Film
10/19/2022
1/1/2019 Symproic® (naldemedine)
1/19/2022
1/1/2019 Symproic® (naldemedine)
1/19/2022
1/1/2023 Symproic® (naldemedine)
5/18/2022
1/1/2022 Synagis® (palivizumab)
10/19/2022
1/1/2008 Synarel® (nafarelin acetate)
4/20/2022
1/1/2020 Syndros (dronabinol) oral solution
6/15/2022
1/1/2020 Synera® (lidocaine and tetracaine) topical patch
3/16/2022
11/21/2012 Synribo® (omacetaxine mepesuccinate)
10/19/2022
1/1/2020 Syprine® (trientine hydrochloride)
2/16/2022

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