Políticas de cobertura médica y de farmacia - Inicio

Políticas de cobertura de farmacia

Resultados de la búsqueda

Fecha de vigenciaPolicy NameReviewed Date
7/15/2020 Tabrecta™ (capmatinib)
7/15/2020
1/1/2021 Taclonex® (calcipotriene and betamethasone) topical suspension
12/23/2020
1/1/2021 Tadalafil Products
8/19/2020
1/1/2021 Tafinlar® (dabrafenib)
8/19/2020
1/1/2021 Tafinlar® (dabrafenib)
8/19/2020
1/1/2020 Tagrisso™ (osimertinib)
2/17/2021
1/1/2020 Takhzyro™ (lanadelumab-flyo)
7/15/2020
1/1/2020 Takhzyro™ (lanadelumab-flyo)
7/15/2020
1/1/2019 Taltz® (ixekizumab)
3/17/2021
1/1/2021 Taltz® (ixekizumab)
3/17/2021
12/12/2018 Talzenna™(talazoparib)
12/9/2020
1/1/2020 Tarceva® (erlotinib)
4/21/2021
1/1/2021 Targretin® (bexarotene)
8/19/2020
1/1/2021 Tasigna® (nilotinib)
8/19/2020
1/1/2009 Tasmar® (tolcapone)
10/14/2020
1/1/2021 Tavalisse® (fostamatinib)
8/19/2020
1/1/2021 Tazorac® (tazarotene cream and gel)
9/16/2020
7/15/2020 Tazverik™ (tazemetostat)
7/15/2020
9/16/2020 Tecartus™ (brexucabtagene autoleucel)
4/21/2021
4/21/2021 Tecartus™ (brexucabtagene autoleucel)
4/21/2021
1/1/2018 Tecentriq® (atezolizumab)
4/21/2021
1/1/2021 Tecfidera® (dimethyl fumarate) delayed-release capsules
12/9/2020
12/12/2018 Tegsedi (inotersen)
11/11/2020
1/1/2020 Temodar® (temozolomide)
5/19/2021
4/15/2020 Tepezza™ (teprotumumab)
3/17/2021
3/17/2021 Tepezza™ (teprotumumab)
3/17/2021
4/7/2021 Tepmetko® (tepotinib)
4/1/2021
5/26/2017 Test policy for CR12
5/25/2017
1/1/2021 Testosterone Products
9/16/2020
7/15/2020 Thalomid® (thalidomide)
2/17/2021
1/1/2019 Thiazolidinediones (TZDs)
4/21/2021
1/1/2020 Thiola® and Thiola EC® (tiopronin)
5/19/2021
1/1/2018 Thrombate III® [Antithrombin III (Human)]
12/9/2020
1/1/2014 Thymoglobulin® (anti-thymocyte globulin [rabbit])
10/14/2020
1/1/2020 Tibsovo® (ivosidenib)
11/11/2020
12/12/2018 Tiglutik™ (riluzole) Oral Suspension
11/11/2020
1/1/2021 Tiglutik™(riluzole) Oral Suspension
10/14/2020
1/1/2021 Tirosint® (levothyroxine)
12/9/2020
1/1/2021 Tivorbex (indomethacin) capsule
9/16/2020
1/1/2019 Tobramycin for Inhalation
10/14/2020
1/1/2019 Tobramycin for Inhalation
10/14/2020
1/16/2019 Tolsura (itraconazole)
11/11/2020
1/1/2021 Topical Acne Products
8/19/2020
1/1/2020 Topical Antifungals
1/20/2021
1/1/2021 Topical Antifungals
8/19/2020
1/1/2016 Topical Antivirals
12/9/2020
1/1/2017 Topical Antivirals
12/9/2020
1/1/2021 Topical Clindamycin (clindamycin gel, Clindagel®)
8/19/2020
1/1/2021 Topical Diflorasone
8/19/2020
1/1/2018 Topical Doxepin Products (doxepin, Prudoxin®, Zonalon®)
1/20/2021
1/1/2020 Topical Estradiol Products
4/21/2021
1/1/2021 Topical Imidazole Antifungals (Econazole, Oxistat®)
8/19/2020
1/1/2021 Topical Nystatin Powder
9/16/2020
6/26/2014 Topical Onychomycotic Agents
2/17/2021
1/1/2021 Topical Psoriasis Agents
4/21/2021
1/1/2021 Topical Psoriasis Agents
4/21/2021
1/1/2021 Topical Retinoid Products
8/19/2020
1/1/2019 Topical Rosacea Products
11/11/2020
1/1/2019 Topical Rosacea Products
11/11/2020
1/1/2019 Topical Seborrheic Dermatitis Agents
2/17/2021
1/1/2021 Topical Tazarotene Products (Arazlo™, Fabior™)
8/19/2020
1/1/2020 Topical Testosterone
8/21/2019
1/1/2020 Topical Testosterone
8/21/2019
1/1/2021 Topical Tretinoin Containing Products
8/19/2020
1/1/2021 Topical Vitamin D Products
9/16/2020
1/1/2021 Topical Vitamin D Products
4/21/2021
1/1/2019 Torisel® (temsirolimus)
11/11/2020
1/1/2021 Tracleer® (bosentan)
8/19/2020
1/1/2021 Tracleer® (bosentan) tablet for oral suspension
8/19/2020
1/1/2018 Tramadol hydrochloride extended release capsules (ConZip, generic Conzip)
4/21/2021
1/1/2021 Trastuzumab Products
8/19/2020
1/1/2020 Trelstar® (triptorelin pamoate)
12/9/2020
1/1/2019 Tremfya® (guselkumab)
8/19/2020
1/1/2021 Tremfya® (guselkumab)
9/16/2020
7/20/2017 Tretten® (Coagulation Factor XIII A-Subunit [Recombinant])
1/20/2021
2/19/2020 Trikafta™ (elexacaftor-tezacaftor-ivacaftor)
1/20/2021
1/1/2020 Trintellix (vortioxetine)
5/19/2021
1/1/2019 Triptans
10/14/2020
1/1/2019 Triptans
10/14/2020
10/18/2017 Triptodur™ (triptorelin)
10/14/2020
1/1/2018 Trisenox® (arsenic trioxide)
6/17/2020
6/17/2020 Trodelvy™ (sacituzumab govitecan-hziy)
6/17/2020
5/16/2018 Trogarzo™ (ibalizumab-uiyk)
3/17/2021
1/1/2019 Trulance® (plecanatide)
2/17/2021
1/1/2020 Trulance® (plecanatide)
2/17/2021
1/1/2021 Tudorza® (aclidinium) Pressair
8/19/2020
6/17/2020 Tukysa™ (tucatinib)
6/17/2020
9/18/2019 Turalio® (pexidartinib)
5/19/2021
1/1/2021 Tykerb® (lapatinib)
11/11/2020
6/21/2017 Tymlos™ (abaloparatide) subcutaneous injection
10/14/2020
1/1/2019 Tymlos™ (abaloparatide) subcutaneous injection
4/21/2021
1/1/2021 Tysabri® (natalizumab) injection
12/9/2020
1/1/2021 Tysabri® (natalizumab) Intravenous Solution
12/9/2020
1/1/2021 Tysabri® (natalizumab) intravenous solution
2/17/2021
1/1/2021 Tyvaso® (treprostinil)
9/16/2020
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