Políticas de cobertura médica y de farmacia - Inicio

Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
1/1/2020 Sabril® (vigabatrin)
4/21/2021
1/1/2020 Sabril® (vigabatrin)
4/21/2021
1/1/2021 Samsca® (tolvaptan)
11/11/2020
1/1/2006 Sandostatin® S.C., Sandostatin LAR® Depot (octreotide acetate for injection)
9/16/2020
1/1/2021 Santyl (collagenase)
9/16/2020
1/1/2020 Saphris® (asenapine)
3/17/2021
5/20/2020 Sarclisa® (isatuximab-irfc)
4/21/2021
1/22/2015 Savaysa® (edoxaban)
11/11/2020
1/1/2019 Savella® (milnacipran)
3/17/2021
6/17/2020 Scenesse® (afamelanotide)
2/17/2021
3/25/2020 Secuado (asenapine) Transdermal System
3/17/2021
1/1/2021 Sernivo® (betamethasone dipropionate) Spray
8/19/2020
1/1/2020 Seroquel XR® (quetiapine fumarate) extended release tablets
3/17/2021
1/1/2020 Serostim® (somatropin)
5/19/2021
1/1/2016 SGLT2 Inhibitors
4/21/2021
1/1/2021 SGLT2 Inhibitors
4/21/2021
1/17/2018 Shingrix (zoster vaccine recombinant, adjuvanted)
5/19/2021
2/20/2019 Short Acting Beta Agonists
12/9/2020
3/21/2013 Signifor® (pasireotide)
8/19/2020
1/1/2020 Signifor® LAR (pasireotide)
8/19/2020
12/14/2018 Siklos® (hydroxyurea)
2/17/2021
1/1/2021 Siliq® (brodalumab) injection
3/17/2021
1/1/2021 Siliq® (brodalumab) injection
3/17/2021
5/2/2013 Simbrinza™ (brinzolamide/brimonidine ophthalmic suspension)
10/14/2020
1/1/2019 Simponi ARIA (golimumab)
5/19/2021
1/1/2019 Simponi® (golimumab)
3/17/2021
1/1/2021 Simponi® (golimumab)
3/17/2021
3/21/2018 Sinuva™ (mometasone furoate) sinus implant
4/21/2021
5/2/2013 Sirturo® (bedaquiline)
8/19/2020
5/22/2014 Sitavig® (acyclovir)
11/11/2020
7/17/2019 Skyrizi™ (risankizumab-rzaa)
7/15/2020
7/7/2019 Smart Maintenance Dose
6/25/2020
1/1/2021 Sofosbuvir/velpatasvir
9/16/2020
1/1/2020 Soliris (eculizumab)
8/19/2020
2/21/2018 Solosec™ (secnidazole)
12/9/2020
1/1/2019 Somatuline® Depot (lanreotide)
6/17/2020
1/1/2006 Somavert® (pegvisomant)
10/14/2020
1/1/2021 Soriatane® (acitretin)
8/19/2020
1/1/2021 Sovaldi® (sofosbuvir)
10/8/2020
1/1/2021 Sovaldi® (sofosbuvir)
9/16/2020
1/1/2021 Spinraza® (nusinersen) injection
9/16/2020
5/15/2019 Spravato™ (esketamine) Nasal Spray
10/14/2020
1/1/2020 Spritam® (levetiracetam)
3/17/2021
1/1/2020 Sprix® (ketorolac tromethamine) nasal spray
4/21/2021
1/1/2021 Sprycel® (dasatinib)
8/19/2020
1/1/2018 Statin Products
5/19/2021
1/1/2021 Statin Products
5/19/2021
1/1/2020 Stelara (ustekinumab) IV
3/17/2021
1/1/2020 Stelara® (ustekinumab)
9/16/2020
1/1/2021 Stelara® (ustekinumab)
9/16/2020
1/1/2021 Stivarga (regorafenib)
8/19/2020
1/1/2020 Strensiq® (asfotase alfa)
5/19/2021
3/17/2021 Strensiq® (asfotase alfa)
3/17/2021
2/15/2017 Sublingual Allergen Extract
11/11/2020
1/1/2019 Sublingual Allergen Extract
2/17/2021
1/1/2020 Sublocade™ (buprenorphine extended-release) injection
4/21/2021
9/18/2019 Sunosi™ (solriamfetol)
3/17/2021
8/28/2008 Supprelin® LA (histrelin acetate implant)
10/14/2020
1/1/2019 Sustol® (granisetron)
10/14/2020
1/1/2020 Sutent® (sunitinib)
6/17/2020
1/1/2020 Sylatron™ (peginterferon alfa-2b)
7/15/2020
6/12/2014 Sylvant® (siltuximab)
2/17/2021
3/21/2018 Symdeko® (tezacaftor-ivacaftor)
1/20/2021
1/16/2019 Sympazan™(clobazam) Oral Film
11/11/2020
1/1/2019 Symproic® (naldemedine)
2/17/2021
1/1/2019 Symproic® (naldemedine)
2/17/2021
1/1/2019 Synagis® (palivizumab)
4/21/2021
1/1/2008 Synarel® (nafarelin acetate)
5/19/2021
1/1/2020 Syndros (dronabinol) oral solution
7/15/2020
1/1/2020 Synera® (lidocaine and tetracaine) topical patch
4/21/2021
11/21/2012 Synribo® (omacetaxine mepesuccinate)
6/17/2020
1/1/2020 Syprine® (trientine hydrochloride)
4/21/2021
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