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BCBS Florida Medical Policy Updates – October 2024
Click here to view the Blue Cross Blue Shield BCBS Florida Medical Policy Updates »
October 2024 BCBS Florida Medical Policy Updates:
- Alpelisib (Vijoice)
- Amivantamab-vmjw (Rybrevant™)
- Anifrolumab-fnia (Saphnelo)
- Avacincaptad pegol (Izervay) intravitreal injection
- Brentuximab (Adcetris®) Injection
- Corticosteroid Intravitreal Implant
- Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Dermatologic, or Prostate Tumors
- Diaphragmatic/Phrenic Nerve Stimulation (Electrophrenic Pacemaker)
- Durable Medical Equipment (DME)
- Efgartigimod alfa-fcab (Vyvgart) injection
- Endovascular Stent Grafts for Disorders of the Thoracic Aorta
- Enteral Formulas
- Enzyme Replacement Therapy for Pompe Disease
- Extracorporeal Membrane Oxygenation (ECMO) for Adult Conditions
- Extracranial Carotid Angioplasty/Stenting
- Facet Arthroplasty
- Fecal Microbiota Transplantation
- Furosemide (Furoscix) Subcutaneous Infusion
- Gene Expression Profile Testing and Circulating Tumor DNA Testing for Predicting Recurrence in Colon Cancer
- Givosiran (Givlaari™)
- Human EGFR Inhibitors (Cetuximab [Erbitux®], Panitumumab [Vectibix®])
- Implantation of Intrastromal Corneal Ring Segments
- Inclisiran (Leqvio®) Injection
- Infrared Energy Therapy and Low Level Laser Therapy
- Inhaled Nitric Oxide
- Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
- Interspinous and Interlaminar Stabilization/Distraction (Spacers) and Fixation (Fusion) Devices
- Investigational Services
- Knee Arthroscopy and Open, Non- Arthroplasty Knee Repair
- KRAS, NRAS, and BRAF Variant Analysis (Including Liquid Biopsy & MicroRNA Expression Testing) in Metastatic Colorectal Cancer
- Lysis of Epidural Adhesions
- Magnetic Resonance Angiography (MRA) Abdomen and Pelvis
- Magnetic Resonance Angiography (MRA) Brain (Head)
- Magnetic Resonance Angiography (MRA) Chest
- Magnetic Resonance Angiography (MRA) Extremity (Upper and Lower)
- Magnetic Resonance Angiography (MRA) Neck
- Magnetic Resonance Angiography (MRA) Spinal Canal
- Maralixibat (Livmarli®) Oral Solution
- Minimally Invasive Fusion Techniques
- Minimally Invasive Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD) and Dysphagia
- New-To-Market Program for ProviderAdministered Medications
- Noninvasive Prenatal Screening for Fetal Aneuploidies, Twin Zygosity, and Microdeletions Using Cell-Free Fetal DNA
- Occlusion of Uterine Arteries Using Transcatheter Embolization
- Odevixibat (BylvayTM) Capsule
- Omalizumab (Xolair®)
- Oscillatory Devices Used in the Home for the Treatment of Cystic Fibrosis and Other Respiratory Disorders
- Pegcetacoplan (Syfovre) Intravitreal Injection
- Pneumatic Compression Devices
- Preventive Services
- Ramucirumab (Cyramza™) Injection
- Sutimlimab-jome (Enjaymo) Injection
- Temporary Prostatic Stent and Prostatic Urethral Lift
- Transcatheter Mitral Valve Repair (TMVR)
- Transcranial Doppler Studies
- Trilaciclib (Cosela) IV infusion
- Trofinetide (Daybue ® ) Oral Solution
- Vascular Endothelial Growth Factor Inhibitors for Ocular Neovascularization
- Voclosporin (Lupkynis)
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