Webb23 sep. 2024 · ING-CC-0124 Keytruda (pembrolizumab) ING-CC-0127 Darzalex (daratumumab) ING-CC-0128 Tecentriq (atezolizumab) ING-CC-0134 Provenge (sipuleucel-T) Revised Clinical Criteria effective September 23, 2024. The following current clinical criteria were reviewed with no significant change to the medical necessity … Webb19 okt. 2024 · On August 20, 2024, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Blue …
Medical drug benefit Clinical Criteria updates - Anthem
WebbThis page provides the clinical criteria documents for all injectable, infused, or implanted prescription drugs and therapies covered under the medical benefit.The effective dates … Advantage Network (Includes Retail 90 and Rx Maintenance 90) Available as … The Food and Drug Administration (FDA) is restricting the use of Ocaliva® … Site Map - Clinical Criteria - Anthem HoN Code - Clinical Criteria - Anthem Privacy - Clinical Criteria - Anthem About Us - Clinical Criteria - Anthem Webb*ING-CC-0200 Aduhelm New November 7 2024 *ING-CC-0215 Ketamine injection (Ketalar) New November 7 2024 *ING ... *ING-CC-0002 Colony Stimulating Factor Agents Revised November 7 2024 *ING-CC-0124 Keytruda (pembrolizumab) Revised November 7 2024 ING-CC-0101 Torisel (temsirolimus) Revised November 7 2024 *ING-CC-0107 … lithium ion batteries technology
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WebbSeptember 5, 2024 *ING-CC-0124 Keytruda (pembrolizumab) Revised September 5, 2024 *ING-CC-0128 Tecentriq ... 2024 ING-CC-0099 Abraxane (paclitaxel, protein bound) Revised September 5, 2024 ING-CC-0098 Doxorubicin Liposome (Doxil, Lipodox) Revised September 5, 2024 *ING-CC-0107 Bevacizumab for Non-Ophthalmologic Indications … WebbJuly 29, 2024 ING-CC-0163* Durysta (bimatoprost implant) New July 29, 2024 ING-CC-0164* Jelmyto (mitomycin gel) New July 29, 2024 ING-CC-0165* Trodelvy … Webb10 juni 2024 · DRUG.00071 - Pembrolizumab (Keytruda®) [Transitioned to ING-CC-0124 Keytruda (pembrolizumab)] DRUG.00075 - Nivolumab (Opdivo®) [Transitioned to ING-CC-0125 Opdivo (nivolumab)] DRUG.00107 - Avelumab (Bavencio®) [Transitioned to ING-CC-0129 Bavencio (avelumab)] New Medical Policy Effective 06-13-2024 lithium ion batteries united airlines