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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
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