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 | Xeomin (incobotulinumtoxinA)PayerPolicy · EVICORE-MEDICAL_DRUG-FF922CFEAF06 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Xenpozyme (olipudase alfa-rpcp intravenous infusion)PayerPolicy · EVICORE-MEDICAL_DRUG-5FFFC87B7CEE | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vyondys 53 (golodirsen)PayerPolicy · EVICORE-MEDICAL_DRUG-A351DC405E9A | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vyjuvek (beremagene geperpavec-svdt)PayerPolicy · EVICORE-MEDICAL_DRUG-55D2EC48F284 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vyepti (eptinezumab-jjmr)PayerPolicy · EVICORE-MEDICAL_DRUG-43FDBDCA2551 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Von Willebrand Factors (Vonvendi [von Willebrand factor {recombinant}], Wilate [von Willebrand factor/coagulation factor VIII complex {human}])PayerPolicy · EVICORE-MEDICAL_DRUG-CEBF0010AEE5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vpriv (velaglucerase alfa)PayerPolicy · EVICORE-MEDICAL_DRUG-154031C49FAE | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Veopoz (pozelimab-bbfg)PayerPolicy · EVICORE-MEDICAL_DRUG-A0F412CE7B55 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vimizim (elosulfase alfa)PayerPolicy · EVICORE-MEDICAL_DRUG-3360428539B0 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Veklury (remdesivir)PayerPolicy · EVICORE-MEDICAL_DRUG-D2FD4AFFC9AD | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Viltepso (viltolarsen)PayerPolicy · EVICORE-MEDICAL_DRUG-4FB5D7045DC3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Vabysmo (faricimab-svoa intravitreal)PayerPolicy · EVICORE-MEDICAL_DRUG-AB532D3F6BF4 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ustekinumab Intravenous (Stelara, Imuldosa, Otulfi, Pyzchiva, Selarsdi, Steqeyma , Wezlana, Yesintek , ustekinumab, ustekinumab-ttwe)PayerPolicy · EVICORE-MEDICAL_DRUG-10340ACA71B3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tzield (teplizumab-mzwv)PayerPolicy · EVICORE-MEDICAL_DRUG-A9651167F2D7 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tocilizumab Intravenous (Actemra, Tyenne, Tofidence) non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-0E7585129D28 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Uplizna (inebilizumab-cdon) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-A6418148260E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ultomiris (ravulizumab-cwvz) Intravenous InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-2A9942D4153F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Trogarzo (ibalizumab-uiyk injection)PayerPolicy · EVICORE-MEDICAL_DRUG-0711C2344DAB | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tysabri (natalizumab) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-88668FA44439 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Treprostinil Injection (Remodulin, generic)PayerPolicy · EVICORE-MEDICAL_DRUG-44473D602CCC | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Triptodur (triptorelin extended-release suspension)PayerPolicy · EVICORE-MEDICAL_DRUG-00341CE334E4 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tremfya Intravenous (guselkumab)PayerPolicy · EVICORE-MEDICAL_DRUG-ADCD64023C50 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tezspire (tezepelumab-ekko)PayerPolicy · EVICORE-MEDICAL_DRUG-93296032C8B3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Synagis (palivizumab)PayerPolicy · EVICORE-MEDICAL_DRUG-0F9861732C0B | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Tepezza (teprotumumab-trbw)PayerPolicy · EVICORE-MEDICAL_DRUG-B5AD87F7102B | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Syfovre (pegcetacoplan injection)PayerPolicy · EVICORE-MEDICAL_DRUG-CBF316AB82BE | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Sunlenca (lenacapavir) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-5C0644881AC5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Susvimo (ranibizumab intravitreal injection via ocular implant)PayerPolicy · EVICORE-MEDICAL_DRUG-A80686A127BC | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Subcutaneous Immune Globulins (Cutaquig, Cuvitru, Gammagard Liquid, Gammaked, Gamunex-C, Hizentra, HyQvia, Xembify)PayerPolicy · EVICORE-MEDICAL_DRUG-A023044A9AB4 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Supprelin LA (histrelin acetate subcutaneous implant)PayerPolicy · EVICORE-MEDICAL_DRUG-D13039E20B46 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Spravato (esketamine nasal spray)PayerPolicy · EVICORE-MEDICAL_DRUG-3D80AFA1D187 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Spinraza (nusinersen)PayerPolicy · EVICORE-MEDICAL_DRUG-F49851D54244 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Simponi Aria (golimumab)PayerPolicy · EVICORE-MEDICAL_DRUG-881845B81C42 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Spevigo Intravenous (spesolimab-sbzo intravenous infusion)PayerPolicy · EVICORE-MEDICAL_DRUG-97FE37EBDE8E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Skyrizi Intravenous (risankizumab-rzaa)PayerPolicy · EVICORE-MEDICAL_DRUG-7EAD816A091C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Signifor LAR (pasireotide) Injectable SuspensionPayerPolicy · EVICORE-MEDICAL_DRUG-822168464FDE | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Sevenfact (coagulation factor VIIa [recombinant]-jncw)PayerPolicy · EVICORE-MEDICAL_DRUG-5BFA2C751B54 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Saxenda (liraglutide)PayerPolicy · EVICORE-MEDICAL_DRUG-319934B7A8B3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Scenesse (afamelanotide)PayerPolicy · EVICORE-MEDICAL_DRUG-1265B8A22BB3 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Saphnelo (anifrolumab-fnia)PayerPolicy · EVICORE-MEDICAL_DRUG-713F9F604C3C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Rystiggo (rozanolixizumab-noli)PayerPolicy · EVICORE-MEDICAL_DRUG-C0A4A4A5F756 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Rituximab (Rituxan, Ruxience, Truxima, Riabni)PayerPolicy · EVICORE-MEDICAL_DRUG-4534C3FA | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ruconest (recombinant C1 esterase inhibitor)PayerPolicy · EVICORE-MEDICAL_DRUG-E2B7FD356256 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Roctavian (valoctocogene roxaparvovec-rvox)PayerPolicy · EVICORE-MEDICAL_DRUG-65FF78F6B9CF | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ryplazim (plasminogen, human-tvmh)PayerPolicy · EVICORE-MEDICAL_DRUG-96F9A0A83AF4 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Repatha (evolocumab)PayerPolicy · EVICORE-MEDICAL_DRUG-A8A2D31B4B7F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Revcovi (elapegademase-lvlr)PayerPolicy · EVICORE-MEDICAL_DRUG-F8E292F5FB27 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Reclast (zoledronic acid)PayerPolicy · EVICORE-MEDICAL_DRUG-52BF5894D7B5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Rebyota (fecal microbiota, live-jslm)PayerPolicy · EVICORE-MEDICAL_DRUG-7017392ECEB0 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ranibizumab (Lucentis, Byooviz, and Cimerli) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-6E00FF93F4A9 | Created |
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