Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,244 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 22, 2026 | Health Net Oregon | Imiglucerase (Cerezyme); CP.PHAR.154PayerPolicy · HEALTHNET_OR-CP-PHAR-154 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Filgrastim (Neupogen and biosimilars); CP.PHAR.297PayerPolicy · HEALTHNET_OR-CP-PHAR-297 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ferumoxytol (Feraheme); CP.PHAR.165PayerPolicy · HEALTHNET_OR-CP-PHAR-165 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ferric Derisomaltose (Monoferric); CP.PHAR.480PayerPolicy · HEALTHNET_OR-CP-PHAR-480 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ferric Carboxymaltose (Injectafer); CP.PHAR.234PayerPolicy · HEALTHNET_OR-CP-PHAR-234 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Epoetin Alfa (Epogen, Procrit), Epoetin alfa-epbx (Retacrit); CP.PHAR.237PayerPolicy · HEALTHNET_OR-CP-PHAR-237 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Darbepoetin alfa (Aranesp); CP.PHAR.236PayerPolicy · HEALTHNET_OR-CP-PHAR-236 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Crizanlizumab-tmca (Adakveo); CP.PHAR.449PayerPolicy · HEALTHNET_OR-CP-PHAR-449 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Sutimlimab-jome (Enjaymo); CP.PHAR.503PayerPolicy · HEALTHNET_OR-CP-PHAR-503 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ravulizumab-cwvz (Ultomiris); CP.PHAR.415PayerPolicy · HEALTHNET_OR-CP-PHAR-415 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Protein C Concentrate Human (Ceprotin); CP.PHAR.330PayerPolicy · HEALTHNET_OR-CP-PHAR-330 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pegcetacoplan (Empaveli, Syfovre); CP.PHAR.524PayerPolicy · HEALTHNET_OR-CP-PHAR-524 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Marstacimab-hncq (Hympavzi); CP.PHAR.674PayerPolicy · HEALTHNET_OR-CP-PHAR-674 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Lanadelumab-fylo (Takhzyro); CP.PHAR.396PayerPolicy · HEALTHNET_OR-CP-PHAR-396 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Hemin (Panhematin); CP.PHAR.181PayerPolicy · HEALTHNET_OR-CP-PHAR-181 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Givosiran (Givlaari); CP.PHAR.457PayerPolicy · HEALTHNET_OR-CP-PHAR-457 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Fitusiran (Qfitlia); CP.PHAR.706PayerPolicy · HEALTHNET_OR-CP-PHAR-706 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Fibrinogen Concentrate [Human] (Fibryga, RiaSTAP), Fibrinogen, Human-chmt (Fesilty); CP.PHAR.526PayerPolicy · HEALTHNET_OR-CP-PHAR-526 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Factor XIII A-Subunit, Recombinant (Tretten); CP.PHAR.222PayerPolicy · HEALTHNET_OR-CP-PHAR-222 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Factor XIII, Human; (Corifact); CP.PHAR.221PayerPolicy · HEALTHNET_OR-CP-PHAR-221 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Factor VIII- von Willebrand (Alphanate, Humate-P, Vonvendi, Wilate); CP.PHAR.216 (PDFPayerPolicy · HEALTHNET_OR-CP-PHAR-216 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Factor VIIa, Recombinant (NovoSeven RT, SevenFact); CP.PHAR.220PayerPolicy · HEALTHNET_OR-CP-PHAR-220 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Factor IX Complex, Human (Profilnine); CP.PHAR.219PayerPolicy · HEALTHNET_OR-CP-PHAR-219 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Emicizumab-kxwh (Hemlibra); CP.PHAR.370PayerPolicy · HEALTHNET_OR-CP-PHAR-370 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Eculizumab (Soliris), Eculizumab-aeeb (Bkemv), Eculizumab-aagh (Epysqli); CP.PHAR.97PayerPolicy · HEALTHNET_OR-CP-PHAR-97 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ecallantide (Kalbitor); CP.PHAR.177PayerPolicy · HEALTHNET_OR-CP-PHAR-177 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Crovalimab-akkz (PiaSky); CP.PHAR.664PayerPolicy · HEALTHNET_OR-CP-PHAR-664 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Concizumab-mtci (Alhemo); CP.PHAR.625PayerPolicy · HEALTHNET_OR-CP-PHAR-625 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | C1 Esterase Inhibitors (Berinert, Cinryze, Haegarda, Ruconest); CP.PHAR.202PayerPolicy · HEALTHNET_OR-CP-PHAR-202 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Antithrombin III (ATryn, Thrombate III); CP.PHAR.564PayerPolicy · HEALTHNET_OR-CP-PHAR-564 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | ADAMTS13, Recombinant-krhn) (Adzynma); CP.PHAR.635PayerPolicy · HEALTHNET_OR-CP-PHAR-635 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Fondaparinux (Arixtra); CP.PHAR.226PayerPolicy · HEALTHNET_OR-CP-PHAR-226 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Enoxaparin (Lovenox); CP.PHAR.224PayerPolicy · HEALTHNET_OR-CP-PHAR-224 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Dalteparin (Fragmin); CP.PHAR.225PayerPolicy · HEALTHNET_OR-CP-PHAR-225 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Metronidazole Vaginal Gel (Nuvessa); CP.CPA.132PayerPolicy · HEALTHNET_OR-CP-CPA-132 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pegloticase (Krystexxa); CP.PHAR.115PayerPolicy · HEALTHNET_OR-CP-PHAR-115 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Lumasiran (Oxlumo); CP.PHAR.473PayerPolicy · HEALTHNET_OR-CP-PHAR-473 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Fecal microbiota, live-jslm (Rebyota); CP.PHAR.613PayerPolicy · HEALTHNET_OR-CP-PHAR-613 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Furosemide (Furoscix); CP.PHAR.608PayerPolicy · HEALTHNET_OR-HNOR-FUROSEMIDE-FUROSCIX-CP-PHAR-608-9A8510C2D0 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Netupitant and Palonosetron (Akynzeo), Fosnetupitant and Palonosetron (Akynzeo IV); CP.PMN.158PayerPolicy · HEALTHNET_OR-CP-PMN-158 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Granisetron (Sancuso, Sustol); CP.PMN.74PayerPolicy · HEALTHNET_OR-CP-PMN-74 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Dronabinol (Marinol, Syndros); CP.PMN.159PayerPolicy · HEALTHNET_OR-CP-PMN-159 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Aprepitant (Aponvie, Emend, Cinvanti), Fosaprepitant (Emend for injection, Focinvez); CP.PMN.19PayerPolicy · HEALTHNET_OR-CP-PMN-19 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pasireotide (Signifor LAR, Singifor); CP.PHAR.332PayerPolicy · HEALTHNET_OR-CP-PHAR-332 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Octreotide Acetate (Sandostatin, Sandostatin LAR, Mycapssa); CP.PHAR.40PayerPolicy · HEALTHNET_OR-CP-PHAR-40 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Lanreotide (Somatuline Depot and Unbranded); CP.PHAR.391PayerPolicy · HEALTHNET_OR-CP-PHAR-391 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Progesterone (Crinone, Endometrin); CP.PMN.243PayerPolicy · HEALTHNET_OR-CP-PMN-243 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Desmopressin Acetate (DDAVP, Stimate, Nocdurna); CP.PHAR.214PayerPolicy · HEALTHNET_OR-CP-PHAR-214 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Velmanase Alfa-tycv (Lamzede); CP.PHAR.601PayerPolicy · HEALTHNET_OR-CP-PHAR-601 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pegunigalsidase alfa-iwxj (Elfabrio); CP.PHAR.512PayerPolicy · HEALTHNET_OR-CP-PHAR-512 | Codes changed |
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