11 commercial payer policies list Q5156. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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11 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab and Associated Biosimilar(s) | Apr 1, 2026 | Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab and Associated Biosimilar(s) | Apr 1, 2026 | Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab and Associated Biosimilar(s) |
| Apr 1, 2026 |
| Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab and Associated Biosimilar(s) | Apr 1, 2026 | Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Cigna MedOnc Master Drug List.pdf | Not recorded | Prior auth required |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab Intravenous (Actemra, Avtozma, Tyenne, Tofidence) non-oncology | Feb 1, 2026 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Q4 - 2026 JHP MedOnc Master Drug List.pdf | Not recorded | Prior auth required |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab: Actemra; Tofidence; Tyenne; Avtozma; Tocilizumab-anoh§; Tocilizumab-aazg§ | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab Injection for Intravenous Infusion | Jul 1, 2026 | Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab Injection for Intravenous Infusion | Jul 1, 2026 | Covered |
| Policy | Effective | Status of Q5156 |
|---|---|---|
| Tocilizumab Injection for Intravenous Infusion | Jul 1, 2026 | Covered |