Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,180 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Sep 30, 2026 | HealthPartners | Ocrelizumab (Ocrevus) and Ocrelizumab hya-ocsq (Ocrevus Zunovo) – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-194059 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Neuromuscular electrical stimulators (NMES), functional electrical stimulators (FES), and other electrical stimulation devices - Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-295589 | New policy |
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| Sep 30, 2026 | HealthPartners | Neuromuscular electrical stimulation (NMES) and functional electrical stimulation (FES)PayerPolicy · HEALTHPARTNERS-CC-ENTRY-206035 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Hospital bed – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-295530 | New policy |
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| Sep 30, 2026 | HealthPartners | Hospital bedPayerPolicy · HEALTHPARTNERS-CC-AENTRY-045960 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Durable medical equipment (DME), orthoses, prostheses, and suppliesPayerPolicy · HEALTHPARTNERS-CC-AENTRY-045894 | Metadata changed |
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| Sep 30, 2026 | Health Net Oregon | Nintedanib (Ofev); CP.PCH.54PayerPolicy · HEALTHNET_OR-HNOR-NINTEDANIB-OFEV-CP-PCH-54-2C3353012B | Retired |
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| Sep 30, 2026 | Health Net Oregon | Mepolizumab (Nucala); CP.PHAR.200PayerPolicy · HEALTHNET_OR-HNOR-MEPOLIZUMAB-NUCALA-CP-PHAR-200-7B41C5A46E | Retired |
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| Sep 30, 2026 | Health Net Oregon | Benralizumab (Fasenra); CP.PHAR.373PayerPolicy · HEALTHNET_OR-HNOR-BENRALIZUMAB-FASENRA-CP-PHAR-373-1453044FCC | Retired |
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| Sep 30, 2026 | Health Net Oregon | Valoctocogene Roxaparvovec-rvox (Roctavian); CP.PHAR.466PayerPolicy · HEALTHNET_OR-HNOR-VALOCTOCOGENE-ROXAPARVOVEC-RVOX-ROCTAVIAN-CP-PHAR-466-8584B1B9EB | Retired |
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| Sep 30, 2026 | Health Net Oregon | Fidanacogene Elaparvovec-dzkt (Beqvez); CP.PHAR.643PayerPolicy · HEALTHNET_OR-HNOR-FIDANACOGENE-ELAPARVOVEC-DZKT-BEQVEZ-CP-PHAR-643-E117895389 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Tenapanor (Ibsrela, Xphozah); CP.CPA.362PayerPolicy · HEALTHNET_OR-HNOR-TENAPANOR-IBSRELA-XPHOZAH-CP-CPA-362-575D37C498 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Furosemide (Furoscix); CP.PHAR.608PayerPolicy · HEALTHNET_OR-HNOR-FUROSEMIDE-FUROSCIX-CP-PHAR-608-9A8510C2D0 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Pegzilarginase (Loargys); CP.PHAR.587PayerPolicy · HEALTHNET_OR-HNOR-PEGZILARGINASE-LOARGYS-CP-PHAR-587-B825F11FA5 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Corticotropin (H.P. Acthar, Purified Cortrophin Gel); CP.PHAR.168PayerPolicy · HEALTHNET_OR-HNOR-CORTICOTROPIN-H-P-ACTHAR-PURIFIED-CORTROPHIN-GEL-CP-PHAR-D0A7B25FF8 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Insulin glargine (Basaglar, Rezvoglar, Semglee); CP.CPA.228PayerPolicy · HEALTHNET_OR-HNOR-INSULIN-GLARGINE-BASAGLAR-REZVOGLAR-SEMGLEE-CP-CPA-228-949AFF9A0A | Retired |
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| Sep 30, 2026 | Health Net Oregon | Trabectedin (Yondelis); CP.PHAR.204PayerPolicy · HEALTHNET_OR-HNOR-TRABECTEDIN-YONDELIS-CP-PHAR-204-48C7E4B4A8 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Daptomycin (Cubicin RF); CP.PHAR.351PayerPolicy · HEALTHNET_OR-HNOR-DAPTOMYCIN-CUBICIN-RF-CP-PHAR-351-094C832799 | Retired |
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| Sep 30, 2026 | Health Net Oregon | Wireless Motility CapsulePayerPolicy · HEALTHNET_OR-HNOR-WIRELESS-MOTILITY-CAPSULE-175DCBBABF | Retired |
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| Sep 30, 2026 | Health Net Oregon | CP.MP.143PayerPolicy · HEALTHNET_OR-CP-MP-143 | New policy |
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| Sep 30, 2026 | Health Net Oregon | CC.PP.066PayerPolicy · HEALTHNET_OR-CC-PP-066 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Nintedanib (Ofev); CP.PHAR.285PayerPolicy · HEALTHNET_OR-CP-PHAR-285 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Mepolizumab (Nucala); CP.CPA.368PayerPolicy · HEALTHNET_OR-CP-CPA-368 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Benralizumab (Fasenra); CP.CPA.369PayerPolicy · HEALTHNET_OR-CP-CPA-369 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Tenapanor (Ibsrela, Xphozah); CP.PMN.224PayerPolicy · HEALTHNET_OR-CP-PMN-224 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Furosemide (Furoscix, Lasix ONYU); CP.PHAR.608PayerPolicy · HEALTHNET_OR-CP-PHAR-608 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Pegzilarginase-nbln (Loargys); CP.PHAR.587PayerPolicy · HEALTHNET_OR-CP-PHAR-587 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Veligrotug-vvze (Lumvoa); CP.PHAR.773PayerPolicy · HEALTHNET_OR-CP-PHAR-773 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Repository Corticotropin Injection (Acthar Gel, Purified Cortrophin Gel); CP.PHAR.168PayerPolicy · HEALTHNET_OR-CP-PHAR-168 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Insulin glargine (Basaglar, Langlara, Lantus, Rezvoglar, Semglee); CP.CPA.228PayerPolicy · HEALTHNET_OR-CP-CPA-228 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Vusolimogene Oderparepvec-wtpg (Tudriqev); CP.PHAR.774PayerPolicy · HEALTHNET_OR-CP-PHAR-774 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Daraxonrasib (Rasonque); CP.PHAR.794PayerPolicy · HEALTHNET_OR-CP-PHAR-794 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Trabectedin (Yondelis, Evdi); CP.PHAR.204PayerPolicy · HEALTHNET_OR-CP-PHAR-204 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Ensitrelvir (Xocova); CP.PMN.311PayerPolicy · HEALTHNET_OR-CP-PMN-311 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Bulevirtide-gmod (Hepcludex; CP.PHAR.589PayerPolicy · HEALTHNET_OR-CP-PHAR-589 | New policy |
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| Sep 30, 2026 | Health Net Oregon | Daptomycin; CP.PHAR.351PayerPolicy · HEALTHNET_OR-CP-PHAR-351 | New policy |
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| Sep 30, 2026 | Florida Blue | Deformity SurgeryPayerPolicy · FLORIDA_BLUE-FLBLUE-DEFORMITY-SURGERY-5E614EB823 | Retired |
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| Sep 30, 2026 | Florida Blue | Brexanolone (Zulresso) for Postpartum DepressionPayerPolicy · FLORIDA_BLUE-FLBLUE-BREXANOLONE-ZULRESSO-FOR-POSTPARTUM-DEPRESSION-F98C3A20B6 | Retired |
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| Sep 30, 2026 | Florida Blue | PapzimeosPayerPolicy · FLORIDA_BLUE-FLBLUE-PAPZIMEOS-B9DAD8FFCE | New policy |
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| Sep 30, 2026 | Florida Blue | Spinal Deformity SurgeryPayerPolicy · FLORIDA_BLUE-FLBLUE-SPINAL-DEFORMITY-SURGERY-E4C29E6358 | New policy |
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| Sep 30, 2026 | Fallon Health | Speech therapy payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-SPEECHTHERAPY030126 | Retired |
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| Sep 30, 2026 | Fallon Health | Physical and occupational therapy (PT/OT) payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-PTOT030126 | Retired |
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| Sep 30, 2026 | Fallon Health | Preventive services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-PREVENTIVESVCS030126 | Retired |
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| Sep 30, 2026 | Fallon Health | Non-covered services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-NONCOVERED062026 | Retired |
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| Sep 30, 2026 | Fallon Health | Early intervention services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-EARLYINTERVENTIONPAYPOL3122 | Retired |
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| Sep 30, 2026 | Fallon Health | Dental services - Fallon Medicare Plus and NaviCarePayerPolicy · FALLON-PAYMENT-POLICY-DENTALSERVICESNONACO0626 | Retired |
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| Sep 30, 2026 | Fallon Health | Community health center policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-COMMUNITYHEALTHCENTERS030126 | Retired |
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| Sep 30, 2026 | Fallon Health | Adult day health payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-ADULTDAYHEALTH3122 | Retired |
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| Sep 30, 2026 | Fallon Health | Yescarta (axicabtagene ciloleucel)PayerPolicy · FALLON-MEDICAL-POLICY-YESCARTA090125 | Retired |
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| Sep 30, 2026 | Fallon Health | Ventricular Assist DevicesPayerPolicy · FALLON-MEDICAL-POLICY-VENTRICULARASSISTDEVICES090125 | Retired |
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