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 | Horizon BCBSNJ | Capsaicin 8% patch (Qutenza) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Cabazitaxel (Jevtana) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Denosumab (Prolia, Xgeva) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Sipuleucel-T (Provenge) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Xiaflex (Collagenase Clostridium Histolyticum) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Tocilizumab (Actemra) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Pralatrexate (Folotyn) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Injectable Antiemetic Agents [Dolasetron (Anzemet), Granisetron (Kytril, Sustol), Ondansetron (Zofran), Palonosetron (Aloxi), Rolapitant (Varubi), Aprepitant (Cinvanti), Fosaprepitant (Emend), and Fosnetupitant/Palonosetron (Akynzeo), Amisulpride (Barhemsys)] | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Vivitrol (Naltrexone Extended-Release) Injection | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Ustekinumab (Stelara) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Canakinumab (Ilaris) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonist [Degarelix (Firmagon)] | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Golimumab (Simponi Aria) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Mozobil (Plerixafor Injection) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Eculizumab (Soliris) and Ravulizumab-cwvz (Ultomiris) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Certolizumab Pegol (Cimzia) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Alkylating Agent(s) [Temozolomide intravenous (Temodar)] | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Natalizumab (Tysabri) | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | H.P. Acthar Gel | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Measurement of Serum Antibodies to Infliximab, Adalimumab, Ustekinumab and Vedolizumab | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Laboratory and Genetic Testing for Use of 5-Fluorouracil in Patients With Cancer | Codes changed |
| Aug 22, 2026 | Horizon BCBSNJ | Testosterone [Implantable Testosterone Pellets (Testopel Pellets), Testosterone Undecanoate (Aveed)], Testosterone Cypionate (Depo-Testosterone), or Testosterone Enanthate (Delatestryl)] | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Xiaflex | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Xenpozyme | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Uplizna | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Tzield | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Tepezza | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Somatuline Depot | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Sandostatin LAR Depot | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Rituxan | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Pulmozyme | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Onpattro,Tegsedi and Amvuttra | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Methotrexate | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Givlaari | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Gamifant | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Epinephrine, Self-Injected | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Enspryng (satralizumab-mwge) and Uplizna (inebilizumab-cdon) | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Crysvita | Codes changed |
| Aug 22, 2026 | Highmark Wholecare | Corticotropin (H.P. Acthar, Purified Cortrophin Gel) | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Mannitol (Bronchitol); CP.PHAR.518 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Dornase alfa (Pulmozyme); CP.PHAR.212 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Alpha-1 Proteinase Inhibitor (Aralast NP, Glassia, Prolastin-C, Zemaira); CP.PHAR.94 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Tezepelumab-ekko (Tezspire); CP.PHAR.576 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Reslizumab (Cinqair); CP.PHAR.223 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Omalizumab (Xolair),Omalizumab-igec (Omlyclo); CP.PCH.49 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Mepolizumab (Nucala); CP.PHAR.200 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Benralizumab (Fasenra); CP.PHAR.373 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Verteporfin (Visudyne); CP.PHAR.187 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Travoprost Implant (iDose TR); CP.PHAR.672 | Codes changed |
| Aug 22, 2026 | Health Net Oregon | Ranibizumab (Byooviz, Cimerli, Lucentis, Nufymco, Susvimo); CP.PHAR.186 | Codes changed |