Alemtuzumab (Lemtrada)Effective 06/01/2023 - 04/30/2024
Effective Jun 1, 2023
2,957 active EviCore by Evernorth policies in Backwork, grouped by policy type. Each policy page shows the codes the policy lists and links to the payer’s own copy.
Summary of the payer’s published policy. Not a coverage determination — confirm with EviCore by Evernorth before submitting.
Free account. Policy pages stay open to everyone.
101–150 of 2,957, by type and title
Effective Jun 1, 2023
Effective Jan 1, 2019
Effective Jul 1, 2022
Effective Jul 1, 2023
Effective Aug 1, 2021
Effective Sep 1, 2020
Effective Oct 1, 2019
Effective Jan 1, 2019
Effective Apr 1, 2019
Effective Apr 1, 2022
Effective Apr 1, 2023
Effective May 1, 2020
Effective Jun 1, 2021
Effective Oct 1, 2024
Effective Oct 1, 2025
Effective Oct 1, 2023
Effective Aug 1, 2025
Effective Oct 1, 2023
Effective Oct 1, 2024
Effective Apr 1, 2022
Effective Apr 1, 2023
Effective Dec 1, 2021
Effective Oct 27, 2025
Effective Aug 1, 2023
Effective Jan 1, 2019
Effective Aug 1, 2022
Effective Sep 1, 2021
Effective Oct 1, 2020
Effective Nov 1, 2019
Effective Jul 1, 2025
Effective May 1, 2024
Effective May 1, 2025
Effective Mar 1, 2025
Effective Oct 1, 2025