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Florida Blue Cross Blue Shield July 2017 Medical Policy Updates

Florida Blue Cross Blue Shield posts July 2017 Medical Policy Updates:

Click here to view the Florida Blue Cross Blue Shield July 2017 Medical Policy Updates »

New MCGs:

Revised MCGs:

1. Apheresis, Plasmapheresis and Plasma Exchange – Revision: Revised description section, coverage for low-density lipoprotein (LDL) apheresis, and definitions section. Updated references.
2. Balloon Ostial Dilation (Balloon Sinuplasty) and Implantable Devices – Guideline reviewed. Revised position statement (added long-term and health).
3. Bendamustine HCl (Bendeka®, Treanda®) Injection – Review and revision to guideline consisting of updating and reformatting the position statement and updating the precautions and references.
4. Bevacizumab (Avastin®) Injection – Review and revision to guideline; consisting of revising position statement, description, dosing, coding and references.
5. Bortezomib (Velcade®) Injection – Review and revision to guidelines consisting of updating the description section, position statement, and references.
6. Botulinum Toxins – Revision to guideline consisting of clarifying the position statement and updating the dosage/administration section.
7. Carfilzomib (Kyprolis™) Injection – Review and revision to guidelines consisting of updating the description section, position statement, precautions, and references.
8. Ceritinib (Zykadia™) Capsules – Revision to guideline; updated position statement with new NCCN recommendations.
9. Daratumumab (Darzalex®) Injection – Review and revision to guidelines consisting of updating the description section, position statement, and references.
10. Ductal Lavage and Suction Collection Systems – Revision; Position statement, description section, and references updated.
11. Elotuzumab (EmplicitiTM) Injection – Review and revision to guidelines consisting of updating the description section, position statement, dosage/administration section, and references.
12. Endovascular Stent Grafts for Abdominal Aortic Aneurysms – Review; position statements maintained; title, description, and references updated.
13. Evoked Potentials, Intraoperative Neurophysiologic Monitoring, and Quantitative Electroencephalography (QEEG) – Revision; Intraoperative monitoring position statements and references updated.
14. Extracranial Carotid Angioplasty Stenting – Revision; position statements and references updated; formatting changes.
15. Implantable Cardioverter Defibrillators (ICD) – Review; position statements maintained and references updated; formatting changes.
16. Infliximab Products [infliximab (Remicade®), infliximab-dyyb (Inflectra®), and infliximab-abda (Renflexis®)] – Revision to guideline consisting of updating the position statement for infliximab-dyyb (Inflectra) and addition of infliximab-abda (Renflexis). MCG title renamed to “Infliximab Products.”
17. Intravenous Enzyme Replacement Therapy For Gaucher Disease – Review and revision to guideline; consisting of updating description and position statement.
18. Ivacaftor (Kalydeco TM) Oral – Revised position statement to include new mutations per updated FDA indication.
19. Ixazomib (Ninlaro®) Capsule – Review and revision to guidelines consisting of updating the description section, position statement, and references.
20. Melphalan HCl, Captisol-Enabled (Evomela®) IV Infusion – Review and revision to guidelines consisting of updating the position statement to only include use as a high-dose conditioning treatment prior to stem cell transplantation for treatment of MM. The NCCN no longer recommends melphalan as part of any MM treatment regimen.
21. Nab-Paclitaxel Injection (Abraxane) – Revision to guideline; consisting of updating position statement, description, dosing, coding and references.
22. Oral Therapy for Gaucher Disease – Review and revision to guideline; consisting of updating position statement and description.
23. Orthognathic Surgery – Scheduled review. Maintained position statement and updated references. Reformatted guideline.
24. Panobinostat (Farydak) Capsule – Review and revision to guideline consisting of updating the description section, position statement, precautions, and references.
25. Pembrolizumab (Keytruda®) Injection – Review and revision to guideline; consisting of updating position statement, description, dosing, coding and references.
26. Pirfenidone (Esbriet) Oral Capsule – Revision to position statement and dosage/administration; added new FDA approved dosage form (tablets).
27. Pomalidomide (Pomalyst®) Capsule – Review and revision to guidelines consisting of updating the description section, position statement, and references.
28. Pulmonary Hypertension Drug Therapy – Review and revision to guideline; consisting of position statement.
29. Regorafenib (Stivarga®) Tablets – Review and revision to guideline; consisting of updating position statement, description, dosing, coding and references.
30. Ribociclib (Kisqali®) – Revision to guideline; Updated position statement with new Kisqali Femara Co-Pack formulation.
31. Signal Averaged Electrocardiography (SAECG) – Revision; investigatioinal status maintained, description, position statement, and references updated.
32. Tetrabenazine (Xenazine) and Deutetrabenazine (Austedo) – Review and revision to guideline; consisting of revising position statement.
33. Tocilizumab (Actemra®) Injection – Revision to guideline consisting of updating the position statement, dosage/administration section, coding/billing, and references to include a new FDA-approved indication of giant cell arteritis (GCA).
34. Transcatheter Mitral Valve Repair (TMVR) – Annual review; position statements maintained and references updated.
35. Trastuzumab (Herceptin®) Injection – Revision to guideline; updated dosage and administration with new vial size.
36. Treatments for Varicose Veins/Venous Insufficiency – Revision; position statement section updated to incude CHIVA method; references updated.
37. Viscocanalostomy and Canaloplasty – Scheduled review. Maintained Position Statement section. Updated references. Reformatted guideleine.

 

Click here to view the Florida Blue Cross Blue Shield July 2017 Medical Policy Updates »

 

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