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December 2022 PreferredOne Medical Policy Updates:
- Aliqopa™ (copanlisib) (Intravenous)
- Besponsa™ (inotuzumab ozogamicin) (Intravenous)
- Breyanzi® (lisocabtagene maraleucel) (Intravenous)
- Krystexxa® (pegloticase) (Intravenous)
- Lumoxiti™ (moxetumomab pasudotox-tdfk) (Intravenous)
- Medical Policy and Pharmacy Policy Future Updates
- Molecular Testing, Tumor/Neoplasm Biomarkers
- Monjuvi™ (tafasitamab‐cxix) (Intravenous)
- Mylotarg™ (gemtuzumab ozogamicin) (Intravenous)
- Pharmacogenetic / Pharmacogenomic Testing
- Physician Directed/Medically Supervised Weight Loss Programs
- Preventive Coverage for Prenatal Services
- Preventive Coverage of Health Care Services
- Pulmozyme® (dornase alfa) (Inhalation)
- RNA-Targeted Therapies (Amvuttra™ and Onpattro®)
- SCIG (immune globulin SQ): Hizentra®, Gammagard Liquid®, Gamunex®-C, Gammaked®, Hyqvia®, Cuvitru®, Cutaquig®, Xembify® (Subcutaneous)
- Special Coverage for the COVID-19 Pandemic
- Tecartus® (brexucabtagene autoleucel) (Intravenous)
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!
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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.