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BCBS Louisiana Medical Policy Updates – February 2024
Click here to view the Blue Cross Blue Shield BCBS Louisiana Medical Policy Updates »
February 2024 BCBS Louisiana Medical Policy Updates:
- Rozanolixizumab-noli (Rystiggo®)
- Beremagene Geperpavec-svdt (Vyjuvek™)
- Ritlecitinib (Litfulo™)
- Lodoco®(colchicine)
- Nadofaragene Firadenovec-vncg (Adstiladrin®)
- Select Hemophilia B Products
- Fecal Microbiota Spores, live-brpk (Vowst™)
- Valoctocogene Roxaparvovec-rvox (Roctavian™)
- Leniolisib (Joenja®)
- Tofersen (Qalsody™)
- Pegcetacoplan (Syfovre™)
- Veozah™ (Fezolinetant)
- Etranacogene Dezaparvovec (Hemgenix®)
- Fecal Microbiota, live-jslm (Rebyota™)
- Velmanase Alfa-tycv (Lamzede®)
- Omaveloxolone (Skyclarys™)
- Sparsentan (Filspari™)
- Olipudase alfa-rpcp (Xenpozyme®)
- Select Hydroxychloroquine Tablet Strengths
- Teplizumab-mzwv (Tzield™)
- Lenacapavir (Sunlenca®)
- Xaciato™ (Clindamycin)
- Zerviate™ (Cetirizine Ophthalmic Solution)
- Zoryve™ (roflumilast cream)
- Xatmep™ (methotrexate oral solution)
- Treatment of Varicose Veins/Venous Insufficiency
- Treatment of Hepatitis C with Dual Therapy (Ribavirin Plus Pegylated Interferon Alfa)
- Transanal Endoscopic Microsurgery
- Syndros™ (dronabinol)
- Spinal Cord and Nerve Root Stimulators
- Selective Serotonin Reuptake Inhibitors (SSRIs)/SerotoninNorepinephrine Reuptake Inhibitors (SNRIs)
- Select Octreotide Medications
- Select Loteprednol Ophthalmic Products
- Select Antiherpetic Agents (topical, buccal)
- Risankizumab-rzaa (Skyrizi™)
- Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, Biacuplasty and Intraosseous Basivertebral Nerve Ablation
- Pheochromocytoma Medications (Demser®, Dibenzyline®, generics)
- Plugs for Anal Fistula Repair
- Pexidartinib (Turalio™)
- Ophthalmologic Techniques That Evaluate the Posterior Eye Segment for Glaucoma
- Natalizumab (Tysabri®)
- Minimally Invasive Treatment of Nasal Valve Collapse
- Injectable Clostridial Collagenase for Fibroproliferative Disorders
- Image-Guided Minimally Invasive Decompression for Spinal Stenosis
- Genetic Testing for Cardiac Ion Channelopathies
- Endoscopic Radiofrequency Ablation or Cryoablation for Barrett’s Esophagus
- elexacaftor/tezacaftor/ivacaftor (Trikafta™)
- Cooling Devices Used in the Outpatient Setting
- Cabotegravir Intramuscular Injection (Apretude®)
- C1 Esterase Inhibitor (Cinryze®, Haegarda®)
- Branded Bupropion Products
- Bone Growth Stimulation
- avalglucosidase alfa-ngpt (Nexviazyme™)
- anakinra (Kineret®)
- Allogeneic Pancreas Transplant
- alemtuzumab (Lemtrada®)
- Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic Hypertrophy
- Molecular Analysis (Including Liquid Biopsy) for Targeted Therapy or Immunotherapy of Non-Small-Cell Lung Cancer
- Non-Invasive Positive Airway Pressure (Including NonInvasive Home Mechanical Ventilation)
- Genetic Testing for Diagnosis and Management of Mental Health Conditions
- Cytochrome P450 Genotype-Guided Treatment Strategy
Click here to view the Blue Cross Blue Shield BCBS Louisiana Medical Policy Updates »
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