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BCBS Florida Medical Policy Updates – January 2023
Click here to view the Blue Cross Blue Shield BCBS Florida Medical Policy Updates »
January 2023 BCBS Florida Medical Policy Updates:
- Abatacept (Orencia) Injection and Infusion
- Adalimumab (Humira) Injection
- Anakinra (Kineret®) Injection
- Apremilast (Otezla®) Tablet
- Bariatric Surgery
- Baricitinib (Olumiant ®) Tablet
- Betibeglogene Autotemcel (Zynteglo ) IV
- Bevacizumab (Avastin), bevacizumab-awwb (Mvasi), bevacizumab-bvzr (Zirabev), and bevacizumab-maly (Alymsys) Injection
- Bio-Engineered Skin and Soft Tissue Substitutes; Amniotic Membrane and Amniotic Fluid
- Bone Mineral Density Studies
- Bortezomib Injection
- Brand Tecfidera®, Diroximel fumarate (Vumerity™), Monomethyl fumarate (Bafiertam) Capsule
- Brodalumab (Siliq®) Injection
- Cardiac Monitoring Devices
- Certolizumab Pegol (Cimzia®) Injection
- Cladribine (Mavenclad®) tablets
- Dupilumab (Dupixent®) Injection
- Elivaldogene autotemcel (Skysona)
- Enteral Formulas
- Etanercept (Enbrel®) Injection
- External Insulin Infusion Pumps and Continuous Glucose Monitors
- Fecal Microbiota Transplantation
- Fingolimod (Gilenya™) Capsule
- Genetic Testing
- Golimumab (Simponi®, Simponi® Aria) Injection and Infusion
- Gonadotropin Releasing Hormone Analogs and Antagonists
- Granulocyte Colony Stimulating Factors
- Guselkumab (Tremfya®) Injection
- Ibandronate (Boniva®) Injection
- Implantable Bone-Conduction and BoneAnchored Hearing Aids
- Infliximab Products [infliximab (Remicade®),Infliximab, infliximab-dyyb (Inflectra®), infliximab-abda (Renflexis®), and infliximab-axxq (Avsola®)]
- Investigational Services
- Ixekizumab (Taltz) Injection
- Lumbar Spine Surgery
- MCG?mcgId=09-J4000-32&pv=false
- Minimally Invasive Fusion Techniques
- Multiple Sclerosis Self Injectable Therapy (Interferon beta products, Copaxone and Glatopa)
- Nerve Block Injections
- Non-Covered Services
- Ocrelizumab (Ocrevus®) Infusion
- Ofatumumab (Kesimpta)
- Olaratumab (Lartruvo®)
- Oral Oncology Medications
- Orthotics
- Ozanimod (Zeposia ) Capsules
- Pemetrexed Disodium (Alimta®, Pemfexy™) IV
- Ponesimod (Ponvory™) Tablet
- Preventive Services
- Prostate Saturation Biopsy
- Risankizumab-rzaa (Skyrizi) Injection
- Sarilumab (Kevzara) Injection
- Secukinumab (Cosentyx ) Injection
- Siponimod (Mayzent®) Tablets
- Sodium Phenylbutyrate (Buphenyl®)
- Step Therapy Requirements for Medicare Outpatient (Part B) Medications
- Technologies for the Evaluation of Malignant Melanoma
- Teriflunomide (Aubagio®) Tablet
- Tildrakizumab-asmn (Ilumya®) Injection
- Tocilizumab (Actemra ) Injection and Infusion
- Tofacitinib (Xeljanz , Xeljanz XR) Oral Solution
- Tralokinumab-ldrm (Adbry®) Injection
- Transcranial Magnetic Stimulation
- Transcutaneous Electric Nerve Stimulation (TENS)
- Tumor/Genetic Markers
- Upadacitinib (Rinvoq) Tablets
- Ustekinumab (Stelara) Injection and Infusion
- Vagus Nerve Stimulation
- Vedolizumab (Entyvio®) Infusion
- Viscocanalostomy and Canaloplasty
Pharmacy Updates:
- Abaloparatide (Tymlos™)
- Abemaciclib (Verzenio)
- Acalabrutinib (Calquence) Oral
- Advanced Imaging of the Heart: Echocardiography
- Afatinib (Gilotrif) Tablets
- Alectinib (Alecensa)
- Alpelisib (Piqray) Tablet
- Apalutamide (Erleada) Tablet
- Arterial Ultrasound (Duplex Ultrasounds and Physiologic Testing)
- Avapritinib (Ayvakit)
- Axitinib (Inlyta) Tablets
- Belumosudil (Rezurock™) tablets
- Bexarotene (Targretin) Capsules
- Binimetinib (Mektovi) Tablet
- Botulinum Toxins
- Brigatinib (Alunbrig)
- Cabozantinib Capsules and Tablets (Cometriq, Cabometyx)
- Capecitabine (Xeloda) Tablets
- Ceritinib (Zykadia) Capsules
- Cobimetinib (Cotellic) Tablet
- Corticosteroid Intravitreal Implant
- Crizotinib (Xalkori) Capsules
- Dabrafenib (Tafinlar) Capsules
- Dacomitinib (Vizimpro)
- Darolutamide (Nubeqa) Tablet
- Dasatinib (Sprycel) Tablets
- Diagnostic Coronary Angiography
- Dostarlimab-gxly (Jemperli)
- Durable Medical Equipment (DME)
- Duvelisib (Copiktra)
- Elective Percutaneous Coronary Intervention
- Enasidenib Mesylate (Idhifa) Tablet
- Encorafenib (Braftovi) Capsule
- Entrectinib (Rozlytrek) Capsules
- Enzalutamide (Xtandi) Capsules
- Erdafitinib (Balversa)
- Erlotinib (Tarceva) Tablets
- Everolimus (Afinitor, Afinitor Disperz) Tablets
- Gefitinib (Iressa)
- Genetic Testing
- Gilteritinib (Xospata)
- Glasdegib (Daurismo)
- Gonadotropin Releasing Hormone Analogs and Antagonists
- Hormone Replacement
- Ibandronate (Boniva®) Injection
- Idelalisib (Zydelig) Oral Tablet
- Imatinib Mesylate (Gleevec) Tablets
- Ivosidenib (Tibsovo)
- Lapatinib (Tykerb) Tablets
- Larotrectinib (Vitrakvi)
- Lenalidomide (Revlimid®)
- Lenvatinib (Lenvima)
- Lorlatinib (Lorbrena)
- Luspatercept-aamt (Reblozyl®) Injection
- Midostaurin (Rydapt) Capsule
- Neratinib (Nerlynx)
- New-To-Market Program for ProviderAdministered Medications
- Niraparib (Zejula) Capsule
- Nusinersen (Spinraza™)
- Octreotide Acetate (Sandostatin LAR Depot, Bynfezia Pen™, Mycapssa Capsule)
- Olaparib (Lynparza)
- Olaratumab (Lartruvo®)
- Omadacycline (Nuzyra ) Tablets
- Onasemnogene abeparvovec (Zolgensma)
- Osimertinib (Tagrisso)
- Palbociclib (Ibrance)
- Panobinostat (Farydak) Capsule
- Patisiran (Onpattro™)
- Pazopanib (Votrient) Tablets
- Pembrolizumab (Keytruda®) Injection
- Pexidartinib (Turalio)
- Pomalidomide (Pomalyst) Capsule
- Ponatinib (Iclusig) Tablets
- Prostate Saturation Biopsy
- Regorafenib (Stivarga) Tablets
- Ribociclib (Kisqali®)
- Risdiplam (Evrysdi™)
- Ropeginterferon alfa-2b-njft (Besremi)
- Rucaparib (Rubraca)
- Ruxolitinib (Jakafi) Tablets
- Selinexor (Xpovio) Tablet
- Sonidegib (Odomzo) Capsule
- Sorafenib (Nexavar) Tablets
- Sunitinib Malate (Sutent) Capsules
- Talazoparib (Talzenna)
- Temozolomide (Temodar) Capsule and Injection
- Temsirolimus (Torisel®) Injection
- Topotecan HCl (Hycamtin) Injection and Capsule®)
- Trametinib (Mekinist) Tablets
- Transcranial Magnetic Stimulation
- Tretinoin Oral Capsules
- Trifluridine-Tipiracil (Lonsurf) Capsule
- Triheptanoin (Dojolvi®) Oral Liquid
- Tumor/Genetic Markers
- Vandetanib (Caprelsa®) Tablets
- Vemurafenib (Zelboraf)
- Venetoclax (Venclexta) Tablet
- Vismodegib (Erivedge) Capsules
- Vorinostat (Zolinza) Capsules
- Zanubrutinib (Brukinsa)
Click here to view the Blue Cross Blue Shield BCBS Florida Medical Policy Updates »
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