Policy changes Backwork has recorded, newest first. The most recent change on record is from October 11, 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.
82,244 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Aug 22, 2026 | Oscar Health | Ycanth (cantharidin) (PG162, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | Vyvgart (efgartigimod alfa-fcab) and Vyvgart Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) (PG191, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | Vyjuvek (beremagene geperpavec-svdt) (PG147, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Ultomiris (ravulizumab-cwvz) (PG189, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Tzield (teplizumab-mzwv) (CG072, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | Thyrogen (thyrotropin alfa) (PG140, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Tevimbra (tislelizumab) (PG210, Ver. 3) | Codes changed |
| Aug 22, 2026 | Oscar Health | Tepezza (teprotumumab-trbw) (PG273, Ver. 1) | Codes changed |
| Aug 22, 2026 | Oscar Health | Syfovre (pegcetacoplan injection) (PG150, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Spevigo (spesolimab-sbzo) (CG071, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | Soliris (eculizumab) and Biosimilars (PG188, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Rystiggo (rozanolixizumab-noli) (PG190, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Rezzayo (rezafungin) (PG145, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Rebyota (fecal microbiota, live - jslm) (PG240, Ver. 2) | Codes changed |
| Aug 22, 2026 | Oscar Health | Qalsody (tofersen) (PG151, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | PiaSky (crovalimab-akkz) (PG262, Ver. 2) | Codes changed |
| Aug 22, 2026 | Oscar Health | Ocrelizumab (Ocrevus, Ocrevus Zunovo) (PG235, Ver. 6) | Codes changed |
| Aug 22, 2026 | Oscar Health | Niktimvo (axatilimab) (PG252, Ver. 3) | Codes changed |
| Aug 22, 2026 | Oscar Health | Natalizumab and Natalizumab Biosimilars (Tysabri, Tyruko) (PG195, Ver. 6) | Codes changed |
| Aug 22, 2026 | Oscar Health | Methotrexate Injectable Solution (PG249, Ver. 3) | Codes changed |
| Aug 22, 2026 | Oscar Health | Leqembi (lecanemab-irmb) (PG138, Ver. 5) | Codes changed |
| Aug 22, 2026 | Oscar Health | Lemtrada (Alemtuzumab) (PG226, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Lasix ONYU (furosemide injection) (PG282, Ver. 1) | Codes changed |
| Aug 22, 2026 | Oscar Health | Lamzede (velmanase alfa-tycv) (PG146, Ver. 3) | Codes changed |
| Aug 22, 2026 | Oscar Health | Kymriah (tisagenlecleucel) (CG058, Ver. 9) | Codes changed |
| Aug 22, 2026 | Oscar Health | Kisunla (donanemab-azbt) (PG238, Ver. 2) | Codes changed |
| Aug 22, 2026 | Oscar Health | Izervay (avancincaptad pegol) (PG168, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Ilumya (tildrakizumab-asmn) (CG053, Ver. 9) | Codes changed |
| Aug 22, 2026 | Oscar Health | Ilaris (canakinumab) (PG185, Ver. 3) | Codes changed |
| Aug 22, 2026 | Oscar Health | Furoscix (furosemide) 8mg/1mL Solution for injection [On-Body Infusor] (PG132, Ver. 6) | Codes changed |
| Aug 22, 2026 | Oscar Health | Durysta (bimatoprost intracameral implant) (CG116, Ver. 4) | Codes changed |
| Aug 22, 2026 | Oscar Health | Carvykti (ciltacabtagene autoleucel; cilta-cel) (CG067, Ver. 7) | Codes changed |
| Aug 22, 2026 | Oscar Health | Briumvi (ublituximab) (PG134, Ver. 6) | Codes changed |
| Aug 22, 2026 | Oscar Health | Benlysta (belimumab) (PG014, Ver. 9) | Codes changed |
| Aug 22, 2026 | Oscar Health | Adakveo (crizanlizumab) (PG193, Ver. 3) | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Yescarta | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Vyjuvek | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Tecelra | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Tecartus | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Provenge | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Kymriah | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Imlygic | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Carvykti | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Breyanzi | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Adstiladrin | Codes changed |
| Aug 22, 2026 | Mass General Brigham Health Plan | Abecma | Codes changed |
| Aug 22, 2026 | MetroPlusHealth | UM-MP347 Breyanzi (lisocabtagene maraleucel) | Codes changed |
| Aug 22, 2026 | MetroPlusHealth | UM-MP346 Carvykti (ciltacabtagene autoleucel) | Codes changed |
| Aug 22, 2026 | MetroPlusHealth | UM-MP335 Tecartus (brexucabtagene autoleucel) | Codes changed |
| Aug 22, 2026 | MetroPlusHealth | UM-MP334 Abecma (idecabtagene vicleucel) | Codes changed |