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 | Reblozyl (luspatercept-aamt)PayerPolicy · EVICORE-MEDICAL_DRUG-5F876D55D6F8 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Qalsody (tofersen intrathecal injection) Medicare AdvantagePayerPolicy · EVICORE-MEDICAL_DRUG-CEB1B4D9D2F4 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Pombiliti (cipaglucosidase alfa-atga)PayerPolicy · EVICORE-MEDICAL_DRUG-A883C54C4B08 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Qalsody (tofersen intrathecal injection)PayerPolicy · EVICORE-MEDICAL_DRUG-D4DDD9F6F08D | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Orencia Intravenous (abatacept)PayerPolicy · EVICORE-MEDICAL_DRUG-2EE2DE2BBD18 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Purified Cortrophin Gel (repository corticotropin injection)PayerPolicy · EVICORE-MEDICAL_DRUG-F3DDEFFFB879 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | PiaSky (crovalimab-akkz)PayerPolicy · EVICORE-MEDICAL_DRUG-601AE08EC657 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Oxlumo (lumasiran) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-0069AC485FAC | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nucala (mepolizumab)PayerPolicy · EVICORE-MEDICAL_DRUG-1AE5167EE4D0 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Omvoh (mirikizumab-mrkz) IntravenousPayerPolicy · EVICORE-MEDICAL_DRUG-72EEEC842585 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Onpattro (patisiran)PayerPolicy · EVICORE-MEDICAL_DRUG-01C6B1F337EF | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ocrevus (ocrelizumab) Ocrevus Zunovo (ocrelizumab and hyaluronidase-ocsq)PayerPolicy · EVICORE-MEDICAL_DRUG-FF2D0F89501D | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Octreotide Acetate Long-acting Products (Sandostatin LAR Depot, generic)PayerPolicy · EVICORE-MEDICAL_DRUG-FAF6D7EF5D04 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nulojix (belatacept)PayerPolicy · EVICORE-MEDICAL_DRUG-B40A36D8D46F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Obizur (Antihemophilic Factor [Recombinant], Porcine Sequence)PayerPolicy · EVICORE-MEDICAL_DRUG-94A43C8FC4E2 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nulibry (fosdenopterin)PayerPolicy · EVICORE-MEDICAL_DRUG-811268F17088 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | NovoSeven RT (coagulation factor VIIa [recombinant])PayerPolicy · EVICORE-MEDICAL_DRUG-85B6E0982DAB | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nplate (romiplostim) Non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-D3AF89A9 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nexviazyme (avalglucosidase alfa-ngpt)PayerPolicy · EVICORE-MEDICAL_DRUG-845340C4BBC5 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Nexviazyme (avalglucosidase alfa-ngpt)PayerPolicy · EVICORE-MEDICAL_DRUG-B84DC6971309 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | New Medical Drug / IndicationPayerPolicy · EVICORE-MEDICAL_DRUG-AABF83A44D81 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Naglazyme (galsulfase)PayerPolicy · EVICORE-MEDICAL_DRUG-8651574C7AAD | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Myobloc (rimabotulinumtoxinB)PayerPolicy · EVICORE-MEDICAL_DRUG-227FCCE52465 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Monoferric (ferric derisomaltose)PayerPolicy · EVICORE-MEDICAL_DRUG-602A40C97B17 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Mircera (methoxy polyethylene glycol-epoetin beta) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-CF3C5FCD322A | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Leqvio (inclisiran subcutaneous injection)PayerPolicy · EVICORE-MEDICAL_DRUG-A457DB55DE72 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Luxturna (voretigene neparvovec-rzyl)PayerPolicy · EVICORE-MEDICAL_DRUG-5D76D1DD822F | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Leuprolide acetate (Fensolvi, Lupron Depot-PED, Lupron Depot) Non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-1CE6A4748827 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Mepsevii (vestronidase alfa-vjbk)PayerPolicy · EVICORE-MEDICAL_DRUG-BC791070F2BA | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Lumizyme (alglucosidase alfa)PayerPolicy · EVICORE-MEDICAL_DRUG-CA2912BC6934 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Intravenous Immune Globulins (Alyglo, Asceniv, Bivigam, Flebogamma DIF, Gammagard Liquid, Gammagard S/D, Gammaked, Gammaplex, Gamunex-C, Octagam, Panzyga, Privigen, Yimmugo)PayerPolicy · EVICORE-MEDICAL_DRUG-F8F4B1FA8AE8 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Lanreotide (Somatuline Depot, generic) InjectionPayerPolicy · EVICORE-MEDICAL_DRUG-D97E8D0CC88E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Lemtrada (alemtuzumab)PayerPolicy · EVICORE-MEDICAL_DRUG-5303C8F34BD2 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Leqembi (lecanemab-irmb)PayerPolicy · EVICORE-MEDICAL_DRUG-0A317AA4399C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Infliximab (Remicade, Inflectra, Renflexis, Avsola, Infliximab) Non-oncologyPayerPolicy · EVICORE-MEDICAL_DRUG-D392A7C0B1E1 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Lamzede (velmanase alfa-tycv)PayerPolicy · EVICORE-MEDICAL_DRUG-03A1C2DD4959 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Krystexxa (pegloticase)PayerPolicy · EVICORE-MEDICAL_DRUG-664858A65778 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Kisunla (donanemab-azbt) Medicare AdvantagePayerPolicy · EVICORE-MEDICAL_DRUG-2E4CA9588F39 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Kisunla (donanemab-azbt)PayerPolicy · EVICORE-MEDICAL_DRUG-9A87F1829DED | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Kanuma (sebelipase alfa)PayerPolicy · EVICORE-MEDICAL_DRUG-31CF778AE89E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Izervay (avacincaptad pegol intravitreal solution)PayerPolicy · EVICORE-MEDICAL_DRUG-FCCE9DBD47D1 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Injectafer (ferric carboxymaltose)PayerPolicy · EVICORE-MEDICAL_DRUG-FFBF9E580E48 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ilaris (canakinumab)PayerPolicy · EVICORE-MEDICAL_DRUG-58259421AE9D | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Imaavy (nipocalimab-aahu intravenous infusion)PayerPolicy · EVICORE-MEDICAL_DRUG-69623F49CE37 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Hyaluronic Acid Intra-articular Products Medicare AdvantagePayerPolicy · EVICORE-MEDICAL_DRUG-C6829E77F726 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Ilumya (tildrakizumab-asmn)PayerPolicy · EVICORE-MEDICAL_DRUG-6B844C25F58E | Created |
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| Dec 4, 2025 | EviCore by Evernorth | iDoseTR (travoprost intracameral implant)PayerPolicy · EVICORE-MEDICAL_DRUG-A665AFA447D2 | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Hyaluronic Acid Intra-articular ProductsPayerPolicy · EVICORE-MEDICAL_DRUG-4C8DFA3CE04C | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Hemlibra (emicizumab-kxwh)PayerPolicy · EVICORE-MEDICAL_DRUG-B5486D87AD2A | Created |
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| Dec 4, 2025 | EviCore by Evernorth | Hemgenix (etranacogene dezaparvovec-drlb)PayerPolicy · EVICORE-MEDICAL_DRUG-EE105D70D89C | Created |
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