BCBS Michigan Medical Policy Updates – January 2019

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

January 2019 BCBS Michigan Medical Policy Updates:

• Abraxane®(nab-paclitaxel; paclitaxel protein-bound particles)
• Aliqopa™(copanlisib)
• Arzerra®(ofatumumab)
• Bavencio®(avelumab)
• Beleodaq (belinostat)
• Besponsa™(inotuzumab ozogamicin)
• Blinatumomab (Blincyto®)
• Cimzia® (certolizumab pegol)
• Cuvitru™ (immune globulin subcutaneous (human), 20% (solution)
• Cyramza®(ramucirumab)
• Darzalex®(daratumumab)
• Empliciti™(elotuzumab)
• Genetic, Molecular and Other Tests-Experimental/Investigational Status
• Halaven®(eribulin mesylate)
• Imfinzi®(durvalumab)
• Immune Globulin Replacement Therapy
• Jevtana®(cabazitaxel)
• Kadcyla®(ado-trastuzumab    emtansine)
• Kymriah™ (tisagenlecleucel), Yescarta®(axicabtagene ciloleucel)
• Kymriah™ (tisagenlecleucel), Yescarta®(axicabtagene ciloleucel)
• Kyprolis ®  (carfilzomib)
• Libtayo ®(cemiplimab-rwlc)
• Lumoxiti™ (moxetumomab pasudotox-tdfk)
• Marqibo®(vinCRIStine    sulfate LIPOSOME injection)
• Medical Formula for Inborn Errors of Metabolism
• Mozobil® (plerixafor injection)
• Onivyde®(liposomal irinotecan)
• Opdivo®(nivolumab)
• Perjeta®(pertuzumab)
• Radicava™(edaravone)
• Refractive Keratoplasties and Implantation of Intrastromal Corneal Ring Segments
• Requirements for drugs covered under the medical benefit
• Requirements for drugs covered under the medical benefit
• Scintimammography and Gamma Imaging of the Breast and Axilla
• Sphenopalatine Ganglion Block for Head
• Tecentriq®(atezolizumab)
• Unituxin ®      (dinutuximab)
• Vectibix®(panitumumab)
• Yervoy®(ipilimumab)
• Zaltrap®(ziv-aflibercept)

Click here to view the Blue Cross Blue Shield Michigan 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.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.