Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Dec 4, 2025 | EviCore by Evernorth | Actemra (tocilizumab)PayerPolicy · EVICORE-MEDICAL_DRUG-30361C503142 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Aducanumab-avwa (Aduhelm)PayerPolicy · EVICORE-MEDICAL_DRUG-59BC5F98CFF7 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-E5CDB58BC804 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Acthar Gel (repository corticotropin injection)PayerPolicy · EVICORE-MEDICAL_DRUG-02D1F8FB0C51 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-EC20C3C86E84 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-9C67D0490987 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-88A9FF3F8188 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-ACD57A2F68CD | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Abatacept (Orencia)PayerPolicy · EVICORE-MEDICAL_DRUG-78205D370875 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | AbobotulinumtoxinA (Dysport)PayerPolicy · EVICORE-MEDICAL_DRUG-95C108088D0A | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Abatacept (Orencia)PayerPolicy · EVICORE-MEDICAL_DRUG-0A115FE2F3D6 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Abatacept (Orencia)PayerPolicy · EVICORE-MEDICAL_DRUG-809429E3989B | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ultomiris (ravulizumab-cwvz) Intravenous InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-9FA94F9C939C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Abatacept (Orencia)PayerPolicy · EVICORE-MEDICAL_DRUG-DE6F68AC3518 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Abatacept (Orencia)PayerPolicy · EVICORE-MEDICAL_DRUG-BB29D3E80A90 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tocilizumab Intravenous (Actemra, Avtozma, Tyenne, Tofidence) non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-41AC5A9A3ABC | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Xenpozyme (olipudase alfa-rpcp intravenous infusion)PayerPolicy · EVICORE-MEDICAL_DRUG-065896629F97 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Veopoz (pozelimab-bbfg)PayerPolicy · EVICORE-MEDICAL_DRUG-771DC3C58F63 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vyjuvek (beremagene geperpavec-svdt)PayerPolicy · EVICORE-MEDICAL_DRUG-8E3E4D7839C7 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Simponi Aria (golimumab)PayerPolicy · EVICORE-MEDICAL_DRUG-4200CCDBF930 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Syfovre (pegcetacoplan injection)PayerPolicy · EVICORE-MEDICAL_DRUG-01AC6CB055F2 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Spevigo (spesolimab-sbzo) Intravenous InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-96CD6BB6B2EA | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Susvimo (ranibizumab intravitreal injection via ocular implant)PayerPolicy · EVICORE-MEDICAL_DRUG-D9E341F0B200 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ruconest (recombinant C1 esterase inhibitor)PayerPolicy · EVICORE-MEDICAL_DRUG-569CBBE41BD5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Scenesse (afamelanotide)PayerPolicy · EVICORE-MEDICAL_DRUG-D622F423025D | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ranibizumab (Lucentis, Byooviz, and Cimerli) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-450AA68F3E04 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Reblozyl (luspatercept-aamt)PayerPolicy · EVICORE-MEDICAL_DRUG-580F6D19D7FC | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Purified Cortrophin Gel (repository corticotropin injection)PayerPolicy · EVICORE-MEDICAL_DRUG-92E2A2E2F0C5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Preface to Medical Drug Management Guidelines New Medical Drug / IndicationPayerPolicy · EVICORE-MEDICAL_DRUG-150DAC26FF26 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Papzimeos (zopapogene imadenovec-drba)PayerPolicy · EVICORE-MEDICAL_DRUG-45DFFC3859ED | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Leqvio (inclisiran subcutaneous injection)PayerPolicy · EVICORE-MEDICAL_DRUG-E814EEC48B04 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ocrevus (ocrelizumab) Ocrevus Zunovo (ocrelizumab and hyaluronidase-ocsq)PayerPolicy · EVICORE-MEDICAL_DRUG-25E4B43CDDD7 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Natalizumab Products (Tysabri, Tyruko)PayerPolicy · EVICORE-MEDICAL_DRUG-4EBBD2EA719F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Infliximab Intravenous (Remicade, Inflectra, Renflexis, Avsola, Infliximab)PayerPolicy · EVICORE-MEDICAL_DRUG-24A568507D21 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Krystexxa (pegloticase)PayerPolicy · EVICORE-MEDICAL_DRUG-5FD3547DD55A | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Kalbitor (ecallantide)PayerPolicy · EVICORE-MEDICAL_DRUG-FB59554BDDC3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Izervay (avacincaptad pegol intravitreal solution)PayerPolicy · EVICORE-MEDICAL_DRUG-4BF39CD58954 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Evkeeza (evinacumab-dgnb)PayerPolicy · EVICORE-MEDICAL_DRUG-1B1E87BA265E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Givlaari (givosiran)PayerPolicy · EVICORE-MEDICAL_DRUG-0C12784F2963 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Denosumab Products (Prolia, Jubbonti, Stoboclo, Conexxence, Bildyos, Ospomyv) Non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-369ADDF59C8C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Berinert (C1 esterase inhibitor [human])PayerPolicy · EVICORE-MEDICAL_DRUG-5A3192422BCD | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Cinryze (C1 esterase inhibitor [human])PayerPolicy · EVICORE-MEDICAL_DRUG-F499F8F1EF4F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Adakveo (crizanlizumab-tmca)PayerPolicy · EVICORE-MEDICAL_DRUG-76936323150D | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Acthar Gel (repository corticotropin injection)PayerPolicy · EVICORE-MEDICAL_DRUG-CFA3B45BB5B0 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Zolgensma (onasemnogene abeparvovec-xioi)PayerPolicy · EVICORE-MEDICAL_DRUG-F7C20C1F3D6F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Xolair (omalizumab)PayerPolicy · EVICORE-MEDICAL_DRUG-B7975A7D6C8F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Yeztugo (lenacapavir) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-60C68BEB4DE8 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Zilretta (triamcinolone acetonide extended-release injectable suspension)PayerPolicy · EVICORE-MEDICAL_DRUG-1936CBCB97B2 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Xiaflex (collagenase clostridium histolyticum)PayerPolicy · EVICORE-MEDICAL_DRUG-9D3DD9F0DFD7 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vyvgart (efgartigimod alfa-fcab) Vyvgart Hytrulo (efgartigimod alfa and hyaluronidase-qvfc)PayerPolicy · EVICORE-MEDICAL_DRUG-C539E4E58BD2 | Created |
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