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BCBS Horizon

BCBS Horizon Medical Policy Updates – August 2018

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

August 2018 Medical Policy Updates:

  • Angiogenic Inhibitors for the Treatment of Ophthalmic Macular Conditions
  • Certolizumab Pegol (Cimzia)
  • Erythropoietin Therapy Epoetin Alfa Darbepoetin Alfa Pegylated (PEG)-epoetin Beta and Epoetin Alfa-epbx
  • Immune Globulin Subcutaneous (Vivaglobin Hizentra Gammagard Liquid Gamunex-C or Gammaked HyQvia and Cuvitru for Subcutaneous Administration)
  • Infliximab (Remicade) infliximab-dyyb (Inflectra) and infliximab-abda (Renflexis) and infliximab-qbtx (Ixifi)
  • Interspinous and Interlaminar Stabilization or Distraction Devices (Spacers)
  • Natalizumab (Tysabri)
  • Pembrolizumab (Keytruda)
  • Pompe Disease Treatment with Myozyme (Alglucosidase alfa) and Lumizyme (Alglucosidase alfa)
  • Rituximab (Rituxan) and Rituximab or hyaluronidase (Rituxan Hycela)
  • Testosterone [Implantable Testosterone Pellets (Testopel Pellets) Testosterone Undecanoate (Aveed)] Testosterone Cypionate (Depo-Testosterone) or Testosterone Enanthate (Delatestryl)]
  • Vascular Endothelial Growth Factor Inhibitor and Human Epidermal Growth Factor Receptor Inhibitor


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


Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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