Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 18, 2026 | Moda Health | Nexviazyme (avalglucosidase alfa-ngpt) | Criteria changed |
| May 18, 2026 | Moda Health | Myobloc (rimabotulinumtoxinB) | Criteria changed |
| May 18, 2026 | Moda Health | Mylotarg (gemtuzumab ozogamicin) | Criteria changed |
| May 18, 2026 | Moda Health | Monoferric (ferric derisomaltose) | Criteria changed |
| May 18, 2026 | Moda Health | Monjuvi (tafasitamab-cxix) | Criteria changed |
| May 18, 2026 | Moda Health | Mepsevii (vestronidase alfa-vjbk) | Criteria changed |
| May 18, 2026 | Moda Health | Marqibo (vincristine sulfate liposomal) | Criteria changed |
| May 18, 2026 | Moda Health | Margenza (margetuximab-cmkb) | Criteria changed |
| May 18, 2026 | Moda Health | Lymphir (denileukin diftitox-cxdl) | Criteria changed |
| May 18, 2026 | Moda Health | Lyfgenia (lovotibeglogene autotemcel) | Criteria changed |
| May 18, 2026 | Moda Health | Luxturna (voretigene neparvovec-rzyl) | Criteria changed |
| May 18, 2026 | Moda Health | Lunsumio Velo (mosunetuzumab-axgb) | Criteria changed |
| May 18, 2026 | Moda Health | Lunsumio (mosunetuzumab-axgb) | Criteria changed |
| May 18, 2026 | Moda Health | Lumoxiti (moxetumomab pasudotox-tdfk) | Criteria changed |
| May 18, 2026 | Moda Health | Lumizyme (alglucosidase alfa) | Criteria changed |
| May 18, 2026 | Moda Health | Loqtorzi (toripalimab-tpzi) | Criteria changed |
| May 18, 2026 | Moda Health | Long-Acting Granulocyte Colony Stimulating Factors (LA-GCSF): Fulphila; Fylnetra; Neulasta; Nyvepria; Pegfilgrastimfpgk; Rolvedon; Ryzneuta; Stimufend; Udenyca; Ziextenzo | Criteria changed |
| May 18, 2026 | Moda Health | Libtayo (cemiplimab-rwlc) | Criteria changed |
| May 18, 2026 | Moda Health | Levoleucovorin: Fusilev; Khapzory | Criteria changed |
| May 18, 2026 | Moda Health | Leukine (sargramostim) | Criteria changed |
| May 18, 2026 | Moda Health | Leqvio (inclisiran) | Criteria changed |
| May 18, 2026 | Moda Health | Leqembi (lecanemab-irmb) | Criteria changed |
| May 18, 2026 | Moda Health | Lenmeldy (atidarsagene autotemcel) | Criteria changed |
| May 18, 2026 | Moda Health | Lemtrada (alemtuzumab) | Criteria changed |
| May 18, 2026 | Moda Health | Lanreotide: Somatuline Depot; Lanreotide | Criteria changed |
| May 18, 2026 | Moda Health | Lamzede (velmanase alfa-tycv) | Criteria changed |
| May 18, 2026 | Moda Health | Kyxata (carboplatin) | Criteria changed |
| May 18, 2026 | Moda Health | Kyprolis (carfilzomib) | Criteria changed |
| May 18, 2026 | Moda Health | Kymriah (tisagenlecleucel) | Criteria changed |
| May 18, 2026 | Moda Health | Krystexxa (pegloticase) | Criteria changed |
| May 18, 2026 | Moda Health | Keytruda Qlex (pembrolizumab and berahyaluronidase alfa-pmph) | Criteria changed |
| May 18, 2026 | Moda Health | Keytruda (pembrolizumab) | Criteria changed |
| May 18, 2026 | Moda Health | Kanuma (sebelipase alfa) | Criteria changed |
| May 18, 2026 | Moda Health | Kalbitor (ecallantide) | Criteria changed |
| May 18, 2026 | Moda Health | Kadcyla (ado-trastuzumab emtansine) | Criteria changed |
| May 18, 2026 | Moda Health | Jemperli (dostarlimab-gxly) | Criteria changed |
| May 18, 2026 | Moda Health | Jelmyto (mitomycin) | Criteria changed |
| May 18, 2026 | Moda Health | Izervay (avacincaptad pegol) | Criteria changed |
| May 18, 2026 | Moda Health | Ixempra (ixabepilone) | Criteria changed |
| May 18, 2026 | Moda Health | Itvisma (onasemnogene abeparvovec-brve) | Criteria changed |
| May 18, 2026 | Moda Health | Inlexzo (gemcitabine) | Criteria changed |
| May 18, 2026 | Moda Health | Injectafer (ferric carboxymaltose injection) | Criteria changed |
| May 18, 2026 | Moda Health | Infliximab: Remicade; Inflectra; Renflexis; Avsola; Infliximab* | Criteria changed |
| May 18, 2026 | Moda Health | IVIG (immune globulin IV): Asceniv; Alyglo; Bivigam; Flebogamma; Gamunex-C; Gammagard Liquid; Gammagard S/D; Gammagard Liquid ERC; Gammaked; Gammaplex; Octagam; Privigen; Panzyga; Yimmugo | Criteria changed |
| May 18, 2026 | Moda Health | Imlygic (talimogene laherparepvec) | Criteria changed |
| May 18, 2026 | Moda Health | Imdelltra (tarlatamab-dlle) | Criteria changed |
| May 18, 2026 | Moda Health | Imfinzi (durvalumab) | Criteria changed |
| May 18, 2026 | Moda Health | Imaavy (nipocalimab-aahu) | Criteria changed |
| May 18, 2026 | Moda Health | Ilumya (tildrakizumab-asmn) | Criteria changed |
| May 18, 2026 | Moda Health | Ilaris (canakinumab) | Criteria changed |