Click here to view the United Healthcare (UHC) Medical Policy Updates » March 2025 United…

BCBS Louisiana Medical Policy Updates – October 2023
Click here to view the Blue Cross Blue Shield BCBS Louisiana Medical Policy Updates »
October 2023 BCBS Louisiana Medical Policy Updates:
- Actigraphy
- afamelanotide (Scenesse®)
- Amniotic Membrane and Amniotic Fluid
- avatrombopag (Doptelet®)
- bempedoic acid Products (Nexletol™, Nexlizet™)
- bimatoprost Implant (Durysta™)
- Bioengineered Skin and Soft Tissue Substitutes
- Botulinum Toxins
- Bronchial Thermoplasty for Asthma (Alair®)
- C1 Esterase Inhibitor (Berinert®)
- Cardiovascular Risk Panels
- Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
- Cochlear Implant
- Confocal Laser Endomicroscopy
- Continuous Glucose Monitoring
- Cromolyn Nebulized Solution
- Deep Brain Stimulation
- deflazacort (Emflaza™)
- dextromethorphan/quinidine (Nuedexta®)
- difelikefalin (Korsuva )
- Electronic Brachytherapy for Nonmelanoma Skin Cancer
- Endovascular Therapies for Extracranial Vertebral Artery Disease
- Experimental-Investigational Services
- fostamatinib (Tavalisse™)
- Gene Expression Profile Testing and Circulating Tumor DNA Testing for Predicting Recurrence in Colon Cancer
- Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer
- Genetic Testing for Diagnosis and Management of Mental Health Conditions
- Genetic Testing for Mitochondrial Disorders
- Genetic Testing for Statin-Induced Myopathy
- Genetic Testing to Select Melanoma or Glioma Patients for Targeted Therapy
- Genotype-Guided Tamoxifen Treatment
- Genotype-Guided Warfarin Dosing
- Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
- Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
- Immune Prophylaxis for Respiratory Syncytial Virus
- Implantable Infusion Pump for Pain and Spasticity
- infliximab-axxq (Avsola®)
- insulin glargine-yfgn (Semglee™, biosimilar)
- Interspinous Fixation (Fusion) Devices
- KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy
- Lipid Apheresis
- lusutrombopag (Mulpleta®)
- mecamylamine (Vecamyl®)
- Mechanical Stretch Devices for Joint Stiffness and Contractures
- Medical Management of Obstructive Sleep Apnea Syndrome
- methergine/methylergonovine tablets
- Molecular Analysis (Including Liquid Biopsy) for Targeted Therapy or Immunotherapy of Non-Small-Cell Lung Cancer
- Molecular Markers in Fine Needle Aspirates of the Thyroid
- Navigated Transcranial Magnetic Stimulation
- Neurodiagnostics
- nitrofurantoin 25 mg capsules (generic, Macrodantin®)
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
- Novel Medications for the Treatment of Uterine Fibroids
- ofatumumab (Kesimpta®)
- Orthopedic Applications of Platelet-Rich Plasma
- osilodrostat (Isturisa®)
- oxybate Products (Xyrem®, Xywav™)
- peanut (Arachis hypogaea) allergen powder-dnfp (Palforzia™)
- Proteogenomic Testing for Patients With Cancer
- Repository Corticotropin Injection
- riluzole (Tiglutik™, Exservan™)
- Select buprenorphine/naloxone Combination Products
- Select Erectile Dysfunction Medications
- Select Fenofibrate Products
- Select Muscle Relaxants
- Select Octreotide Medications
- Select Topical Antibiotics/Combinations
- Select Vascular Endothelial Growth Factor (VEGF) Inhibit and Combination Products
- Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
- Temporomandibular Joint Dysfunction
- teprotumumab-trbw (Tepezza™)
- Topical Anesthetics
- Topical Antifungals
- Topical Pain Patches
- Transcatheter Pulmonary Valve Implantation
- Treatment of Hyperhidrosis
- Treatment of Varicose Veins/Venous Insufficiency
- Zerviate™ (cetirizine ophthalmic solution)
- Zileuton Products (Zyflo® /zileuton ER)
Click here to view the Blue Cross Blue Shield BCBS Louisiana Medical Policy Updates »
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