BCBS Florida Medical Policy Updates – May 2021

Click here to view the Florida Blue Cross Blue Shield Medical Policy Updates »

May 2021 Medical Policy Updates:

• Amifampridine (Firdapse®)
• Axitinib (Inlyta®) Tablets
• Belimumab (Benlysta®) Injection
• Bio-Engineered Skin and Soft Tissue Substitutes; Amniotic Membrane and Amniotic Fluid
• Botulinum Toxins
• Brexanolone (Zulresso ) IV Infusion
• Cladribine (Mavenclad®) tablets
• Deflazacort (Emflaza)
• Dimethyl Fumarate (Tecfidera®) Capsule
• Ductal Lavage and Suction Collection Systems
• Endoscopic Radiofrequency Ablation or Cryosurgical Ablation for Barrett’s Esophagus
• Esketamine (Spravato ) Nasal Spray
• Fedratinib (Inrebic) capsules
• Fingolimod (Gilenya™) Capsule
• Infertility
• Investigational Services
• Laparoscopic and Percutaneous Techniques for the Treatment of Uterine Fibroids
• Mogamulizumab-kpkc (Poteligeo®)
• Nab-Paclitaxel Injection (Abraxane®)
• Nusinersen (Spinraza™)
• Onasemnogene abeparvovec (Zolgensma)
• Lower Limb Microprocessor-Controlled Prosthetics
• Neuromuscular Electrical Stimulation (NMES)
• Pegvaliase-pqpz (Palynziq )
• Pembrolizumab (Keytruda®) Injection
• Pitolisant (Wakix)
• ProThelial  for the Treatment of Oral Mucositis
• Psoralens with Ultraviolet A (PUVA) Therapy
• Ramucirumab (Cyramza™) Injection
• Ravulizumab (Ultomiris™) IV
• Reconstructive Surgery/Cosmetic Surgery
• Teriflunomide (Aubagio®) Tablet
• Tetrabenazine (Xenazine) and Deutetrabenazine (Austedo)
• Transcatheter Aortic Valve Replacement
• Transvaginal Radiofrequency Bladder Neck Suspension and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
• Tumor/Genetic Markers
• Vagus Nerve Stimulation
• Valbenazine (Ingrezza)
• Xenon Chloride Excimer Laser Therapy for Phototherapeutic Treatment of Dermatologic Conditions

Updated:

• Agalsidase Beta (Fabrazyme®) IV
• Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer
• Axicabtagene Ciloleucel (Yescarta) Infusion
• Botulinum Toxins
• Breast Ductoscopy
• Burosumab-twza (Crysvita®)
• Cenegermin-bkbj (Oxervate®) Ophthalmic Solution
• Cervical Spine Surgery
• Cooling and Heating Devices Used in the Outpatient Setting
• Diagnosis and Treatment of Temporomandibular Joint Disorder
• Elexacaftor-tezacaftor-ivacaftor (Trikafta)
• Eptinezumab-jjmr (Vyepti™)
• Erythropoiesis Stimulating Agents
• Extracorporeal Photopheresis
• Fosnetupitant-Palonosetron (Akynzeo) IV
• Gastric Electrical Stimulation
• Granisetron (Sustol®) Injection
• Hip Arthroplasty
• Hip Arthroscopy and Open, Non-Arthroplasty Hip Repair
• Isatuximab-irfc (Sarclisa®) Infusion
• Ivacaftor (Kalydeco™) Oral
• Knee Arthroplasty
• Knee Arthroscopy and Open, Non- Arthroplasty Knee Repair
• Lumacaftor/Ivacaftor (Orkambi™) Capsule
• Lumbar Spine Surgery
• Migalastat (Galafold®) Capsule
• Minimally Invasive Fusion Techniques
• Mohs Micrographic Surgery
• Neurolysis/Ablation
• NK-1 receptor antagonist injectable therapy (Emend®, Cinvanti®)
• Orthopedic Applications of Stem-Cell Therapy
• Palonosetron Hydrochloride (Aloxi®)
• Pembrolizumab (Keytruda®) Injection
• Pitolisant (Wakix)
• Preventive Services
• Rituximab Products
• Signal Averaged Electrocardiography
• Sodium Oxybate (Xyrem®) and Calcium, Magnesium, Potassium, and Sodium Oxybates (Xywav®) Oral Solutions
• Tezacaftor/Ivacaftor (Symdeko)
• Tisagenlecleucel (Kymriah) Infusion
• Tumor/Genetic Markers
• Voretigene Neparvovec-rzyl (Luxturna) Injection

Click here to view the Florida Blue Cross Blue Shield Medical Policy Updates »

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