Políticas de cobertura médica y de farmacia

Fecha de vigencia	Policy Name	Reviewed Date
7/19/2017	Xadago® (safinamide)	3/17/2021
1/1/2020	Xalkori® (crizotinib)	3/17/2021
7/6/2017	Xatmep™ (methotrexate) oral solution	3/17/2021
5/20/2020	Xcopri® (cenobamate) tablets	3/17/2021
1/1/2020	Xeljanz and Xeljanz XR® (tofacitinib)	3/17/2021
1/1/2021	Xeljanz and Xeljanz XR® (tofacitinib)	3/17/2021
1/1/2021	Xeloda (capecitabine)	3/17/2021
1/1/2018	Xenazine® (tetrabenazine)	3/17/2021
1/1/2016	Xenical® (orlistat)	2/17/2021
9/29/2006	Xeomin® (Botulinum Toxin)	9/16/2020
1/1/2020	Xepi (ozenoxacin) topical cream	1/20/2021
4/5/2017	Xermelo™ (telotristat ethyl)	3/17/2021
1/1/2020	Xgeva (denosumab)	3/17/2021
11/8/2017	XHANCE™ (fluticasone propionate)	12/9/2020
1/1/2017	Xifaxan® (rifaximin)	1/20/2021
1/1/2020	Xifaxan® (rifaximin)	1/20/2021
1/1/2018	Xiidra® (lifitegrast ophthalmic solution)	1/20/2021
1/1/2018	Xiidra® (lifitegrast ophthalmic solution)	1/20/2021
4/15/2015	Xofigo® (radium Ra 223 dichloride)	12/9/2020
1/1/2019	Xolair® (omalizumab)	3/17/2021
1/16/2019	Xospata® (gilteritinib)	12/9/2020
9/18/2019	Xpovio™ (selinexor)	1/28/2021
1/1/2019	Xtandi® (enzalutamide)	3/17/2021
1/1/2020	Xultophy® 100/3.6 (insulin degludec and liraglutide)	4/21/2021
4/20/2016	Xuriden™ (uridine triacetate)	12/9/2020
1/1/2021	Xyrem® (sodium oxybate)	9/16/2020
12/9/2020	Xywav™ (calcium, magnesium, potassium, and sodium oxybates)	12/9/2020

Políticas de cobertura de farmacia