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Humana medical policy

Humana November 2017 Pharmacy Policy Updates

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The following Medical Policies have been revised.

November 2017 Pharmacy Policy Updates:

Policy Name Reviewed Date
Actimmune® (interferon gamma-1b) 11/8/2017
Basaglar® (insulin glargine) 11/8/2017
Boniva® and generic ibandronate sodium Injection 11/8/2017
Botox® (Botulinum Toxin) 11/8/2017
Buprenorphine Containing Products 11/8/2017
Buprenorphine Containing Products 11/8/2017
Buprenorphine Containing Products 11/8/2017
Buprenorphine Containing Products 11/8/2017
Crofelemer Products 11/8/2017
DUOPA® (carbidopa and levodopa enteral suspension) 11/8/2017
Diclofenac Topical Gel 11/8/2017
Egrifta® (tesamorelin acetate) 11/8/2017
Endari™ (L-glutamine) 11/8/2017
Ezetimibe Containing Products 11/8/2017
Forteo® (teriparatide injection) 11/8/2017
Forteo® (teriparatide) 11/8/2017
Giazo® (balsalazide disodium) 11/8/2017
Glatiramer Products (Copaxone, glatiramer) 11/8/2017
Inhaled Corticosteroids 11/8/2017
Intranasal Rhinitis Agents 11/8/2017
Korlym® (mifepristone) 11/8/2017
Kymriah™ (tisagenlecleucel) 11/8/2017
Lotronex® (alosetron HCl) 11/8/2017
Lupaneta Pack® (leuprolide acetate and norethindrone acetate) 11/8/2017
Member Cost-Share Waiver: Contraceptives 11/8/2017
Mylotarg® (gemtuzumab ozogamicin) 11/8/2017
Non-Sedating Antihistamines 11/8/2017
Ophthalmic Non-Steroidal Anti-Inflammatory Drugs 11/8/2017
Ophthalmic Non-Steroidal Anti-Inflammatory Drugs 11/8/2017
Ozurdex® (dexamethasone intravitreal implant) 11/8/2017
Prolia® (denosumab) 11/8/2017
Qutenza® (capsaicin) 8% patch 11/8/2017
Reclast® (zoledronic acid) 11/8/2017
Rytary™ (carbidopa and levodopa extended-release capsule) 11/8/2017
Simponi® Aria™ (golimumab) 11/8/2017
Stelara® (ustekinumab) 11/8/2017
Sustol® (granisetron) 11/8/2017
Tasmar® (tolcapone) 11/8/2017
VPRIV® (velaglucerase alfa) 11/8/2017
Vivitrol® (naltrexone for extended release injectable suspension) 11/8/2017
Vivlodex® (meloxicam) 11/8/2017
XHANCE™ (fluticasone propionate) 11/8/2017
Xiidra (lifitegrast ophthalmic solution) 11/8/2017
Xopenex HFA® (levalbuterol) 11/8/2017
Zanaflex® (tizanidine) 11/8/2017
Zanaflex® (tizanidine) 11/8/2017
Zegerid® (omeprazole, sodium bicarbonate) 11/8/2017
Sprix® (ketorolac tromethamine) nasal spray 11/2/2017
Vyxeos™ (daunorubicin and cytarabine) liposome 11/2/2017

 

Click here to view the Humana Pharmacy Policy Updates »

 

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