Cigna Medical Policy & Pharmacy Updates – April 2018

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April 2018 Medical Policy & Pharmacy Policy Updates:

• Obstructive Sleep Apnea (OSA) Treatment Services (0158)
• Pharmacy and Infusion Services (R14)
• Transcatheter Ablation for the Treatment of Supraventricular Tachycardia (SVT) – (0529)
• Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery – (0481)
• Home Blood Glucose Monitors – (0106)
• Treatment of Gender Dysphoria – (0266)
• Preventive Care Services-(A004)
• Antiemetic Therapy – (1705)
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Standard Prescription Drug List and Performance Prescription Drug List – (1601)
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Value Prescription Drug List and Advantage Prescription Drug List – (1602)
• Lanreotide for Non-Oncology Indications – (9005)
• Plerixafor – (9008)
• Transmucosal Fentanyl – (1018)
• Pharmacy Prior Authorization – (1407)
• Step Therapy – (1109)
• Step Therapy – Standard Prescription Drug Lists (Employer Group Plans) (1801)
• Step Therapy – Value Prescription Drug Lists (Employer Group Plans) (1802)
• Step Therapy – Legacy Prescription Drug Lists (Employer Group Plans) (1803)
• Code Edit and Policy Guidelines

Click here to view the Cigna Medical Policy Updates »

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