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United Healthcare Medical Policy Updates – March 2019
Click here to view the United Healthcare Medical Policy Updates »
March 2019 Medical Policy Updates:
- 17-Alpha-Hydroxyprogesterone Caproate (Makena™ and 17P)
- Actemra ®(Tocilizumab) Injection for Intravenous Infusion
- Alpha1-Proteinase Inhibitors
- Benlysta ®(Belimumab)
- Botulinum Toxins A and
- Breast Imaging for Screening and Diagnosing Cancer
- Brineura™ (Cerliponase Alfa)
- Buprenorphine (Probuphine ®& Sublocade™)
- Chelation Therapy for Non-Overload Conditions
- Clotting Factors and Coagulant Blood Products
- Cognitive Rehabilitation
- Crysvita (Burosumab-Twza)
- Denosumab (Prolia ®& Xgeva®)
- Elbow Replacement Surgery (Arthroplasty)
- Emergency Health Care Services and Urgent Care Center Services
- Entyvio ®(Vedolizumab)
- Enzyme Replacement Therapy
- Erythropoiesis-Stimulating Agents
- Exondys 51 ™(Eteplirsen)
- Fetal Aneuploidy Testing Using Cell-Free Fetal Nucleic Acids in Maternal Blood
- Gamifant™ (Emapalumab-Lzsg)
- Gonadotropin Releasing Hormone Analogs
- Habilitative Services and Outpatient Rehabilitation Therapy
- Hereditary Angioedema (HAE), Treatment and Prophylaxis
- Home Hemodialysis
- Ilaris ®(Canakinumab)
- Ilumya™ (Tildrakizumab-Asmn)
- Immune Globulin (IVIG and SCIG)
- Immune Globulin Site of Care Review Guidelines for Medical Necessity of Hospital Outpatient Facility Infusion
- Infliximab (Remicade®, Inflectra™, Renflexis™)
- Inpatient Pediatric Feeding Programs
- Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease
- Ketamine
- Lemtrada (Alemtuzumab)
- Luxturna™ (Voretigene Neparvovec-Rzyl)
- Maximum Dosage
- Meniscus Implant and Allograft
- Mifeprex (Mifepristone)
- Neuropsychological Testing Under the Medical Benefit
- New Version of the Knowledge Library (KL) Released
- Obstructive Sleep Apnea Treatment
- Ocrevus™ (Ocrelizumab)
- Off-Label/Unproven Specialty Drug Treatment
- Oncology Medication Clinical Coverage
- Onpatrro (Patisiran)
- Ophthalmologic Policy: Vascular Endothelial Growth Factor (VEGF) Inhibitors
- Orencia ®(Abatacept) Injection for Intravenous Infusion
- Outpatient Cardiac Telemetry
- Parsabiv™ (Etelcalcetide)
- Platelet Derived Growth Factors for Treatment of Wounds
- Propranolol Treatment for Infantile Hemangiomas: Inpatient Protocol
- Radicava™ (Edaravone)
- Repository Corticotropin Injection
- Respiratory Interleukins (Cinqair®, Fasenra®, and Nucala )®
- Review at Launch for New to Market Medications
- Rituxan ®(Rituximab)
- Self-Administered Medications
- Shoulder Replacement Surgery (Arthroplasty)
- Simponi Aria ®(Golimumab) Injection for Intravenous Infusion
- Soliris (eculizumab), Ultomiris (ravulizumab-cwvz)
- Soliris ®(Eculizumab)
- Somatostatin Analogs
- Specialty Medication Administration – Site of Care Review Guidelines
- Spinraza ™(Nusinersen)
- Stelara ®(Ustekinumab)
- Subcutaneous Implantable Hormone Pellets
- Subcutaneous Implantable Naltrexone Pellets
- Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins
- Surgical Treatment for Spine Pain
- Synagis ®(Palivizumab)
- Temporomandibular Joint Disorders
- Total Artificial Disc Replacement for the Spine
- Trogarzo™ (Ibalizumab-Uiyk)
- Vaccines
- White Blood Cell Colony Stimulating Factors
- Xolair ®(Omalizumab)
Click here to view the United Healthcare Medical Policy Updates »
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