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 | Isatuximab-irfc (Sarclisa); CP.PHAR.482PayerPolicy · HEALTHNET_OR-CP-PHAR-482 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ipilimumab (Yervoy); CP.PHAR.319PayerPolicy · HEALTHNET_OR-CP-PHAR-319 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Inotuzumab Ozogamicin (Besponsa); CP.PHAR.359PayerPolicy · HEALTHNET_OR-CP-PHAR-359 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Glofitamab-gxbm (Columvi); CP.PHAR.636PayerPolicy · HEALTHNET_OR-CP-PHAR-636 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Gemtuzumab ozogamicin (Mylotarg); CP.PHAR.358PayerPolicy · HEALTHNET_OR-CP-PHAR-358 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Fam-trastuzumb deruxtecan-nxki (Enhertu); CP.PHAR.456PayerPolicy · HEALTHNET_OR-CP-PHAR-456 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Epcoritamab-bysp (Epkinly); CP.PHAR.634PayerPolicy · HEALTHNET_OR-CP-PHAR-634 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Enfortumab Vedotin-ejfv (Padcev); CP.PHAR.455PayerPolicy · HEALTHNET_OR-CP-PHAR-455 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Elotozumab (Empliciti); CP.PHAR.308PayerPolicy · HEALTHNET_OR-CP-PHAR-308 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Elranatamab-bcmm (Elrexfio); CP.PHAR.652PayerPolicy · HEALTHNET_OR-CP-PHAR-652 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Durvalumab (Imfinzi): CP.PHAR.339PayerPolicy · HEALTHNET_OR-CP-PHAR-339 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Daratumumab (Darzalex); CP.PHAR.310PayerPolicy · HEALTHNET_OR-HNOR-DARATUMUMAB-DARZALEX-CP-PHAR-310-2184946AFF | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Cetuximab (Erbitux); CP.PHAR.317PayerPolicy · HEALTHNET_OR-CP-PHAR-317 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Cemiplimab-rwlc (Libtayo); CP.PHAR.397PayerPolicy · HEALTHNET_OR-CP-PHAR-397 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Brentuximab vedotin (Adcetris); CP.PHAR.303PayerPolicy · HEALTHNET_OR-CP-PHAR-303 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Blinatumomab (Blincyto); CP.PHAR.312PayerPolicy · HEALTHNET_OR-CP-PHAR-312 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Avelumab (Bavencio); CP.PHAR.333PayerPolicy · HEALTHNET_OR-CP-PHAR-333 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Atezolizumab (Tecentriq), Atezolizumab-Hyaluronidase (Tecentriq Hybreza); CP.PHAR.235PayerPolicy · HEALTHNET_OR-CP-PHAR-235 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Amivantamab-vmjw (Rybrevant), Amivantamab/Hyaluronidase-lpuj (Rybrevant Faspro); CP.PHAR.544PayerPolicy · HEALTHNET_OR-CP-PHAR-544 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ado-Trastuzumab Emtansine (Kadcyla); CP.PHAR.229PayerPolicy · HEALTHNET_OR-CP-PHAR-229 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Zanidatamab-hrii (Ziihera); CP.PHAR.709PayerPolicy · HEALTHNET_OR-CP-PHAR-709 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Margetuximab-cmkb (Margenza); CP.PHAR.522PayerPolicy · HEALTHNET_OR-CP-PHAR-522 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ziv-aflibercept (Zaltrap); CP.PHAR.325PayerPolicy · HEALTHNET_OR-CP-PHAR-325 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ramucirumab (Cyramza); CP.PHAR.119PayerPolicy · HEALTHNET_OR-CP-PHAR-119 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Bevacizumab (Alymsys, Avastin, Avzivi, Jobevne, Mvasi, Vegzelma, Zirabev); CP.PHAR.93PayerPolicy · HEALTHNET_OR-CP-PHAR-93 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pralatrexate (Folotyn); CP.PHAR.313PayerPolicy · HEALTHNET_OR-CP-PHAR-313 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Pemetrexed (Alimta, Pemfexy, Axtle); CP.PHAR.368PayerPolicy · HEALTHNET_OR-CP-PHAR-368 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Azacitidine (Onureg, Vidaza); CP.PHAR.387PayerPolicy · HEALTHNET_OR-CP-PHAR-387 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Trabectedin (Yondelis); CP.PHAR.204PayerPolicy · HEALTHNET_OR-HNOR-TRABECTEDIN-YONDELIS-CP-PHAR-204-48C7E4B4A8 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Prednisone delayed-release (Rayos); CP.CPA.273PayerPolicy · HEALTHNET_OR-CP-CPA-273 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Melphalan (Hepzato); CP.PHAR.653PayerPolicy · HEALTHNET_OR-CP-PHAR-653 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Lurbinectedin (Zepzelca); CP.PHAR.500PayerPolicy · HEALTHNET_OR-CP-PHAR-500 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Bendamustine (Belrapzo, Bendeka, Treanda, Vivimusta); CP.PHAR.307PayerPolicy · HEALTHNET_OR-CP-PHAR-307 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Omadacycline (Nuzyra); CP.PMN.188PayerPolicy · HEALTHNET_OR-CP-PMN-188 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Cytomegalovirus Immune Globulin (CytoGam); CP.PHAR.277PayerPolicy · HEALTHNET_OR-CP-PHAR-277 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Lenacapavir (Sunlenca, Yeztugo); CP.PHAR.622PayerPolicy · HEALTHNET_OR-CP-PHAR-622 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ibalizumab-uiyk (Trogarzo); CP. PHAR.378PayerPolicy · HEALTHNET_OR-PHAR-378 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Cabotegravir, Cabotegravir-Rilpivirine (Apretude, Cabenuva); CP.PHAR.573PayerPolicy · HEALTHNET_OR-CP-PHAR-573 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Tedizolid (Sivextro); CP.PMN.62PayerPolicy · HEALTHNET_OR-CP-PMN-62 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Linezolid (Zyvox); CP.PMN.27PayerPolicy · HEALTHNET_OR-CP-PMN-27 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Daptomycin (Cubicin RF); CP.PHAR.351PayerPolicy · HEALTHNET_OR-HNOR-DAPTOMYCIN-CUBICIN-RF-CP-PHAR-351-094C832799 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ciprofloxacin/Fluocinolone (Otovel); CP.PMN.249PayerPolicy · HEALTHNET_OR-CP-PMN-249 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Tobramycin (Bethkis, Kitabis Pak, TOBI, TOBI Podhaler); CP.PHAR.211PayerPolicy · HEALTHNET_OR-CP-PHAR-211 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Buprenorphine Injection (Sublocade, Brixadi); CP.PHAR.289PayerPolicy · HEALTHNET_OR-CP-PHAR-289 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Methotrexate (Otrexup, Rasuvo, Reditrex, Xatmep, Jylamvo); CP.PHAR.134PayerPolicy · HEALTHNET_OR-CP-PHAR-134 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Ibuprofen-famotidine (Duexis); CP.PMN.120PayerPolicy · HEALTHNET_OR-CP-PMN-120 | Codes changed |
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| Aug 22, 2026 | Health Net Oregon | Canakinumab (Ilaris); CP.PHAR.246PayerPolicy · HEALTHNET_OR-CP-PHAR-246 | Codes changed |
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| Aug 22, 2026 | Florida Blue | Imaavy (nipocalimab)PayerPolicy · FLORIDA_BLUE-FLBLUE-IMAAVY-NIPOCALIMAB-2CB0F2C762 | Codes changed |
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| Aug 22, 2026 | Florida Blue | Tezspire (Tezepelumab)PayerPolicy · FLORIDA_BLUE-FLBLUE-TEZSPIRE-TEZEPELUMAB-40D72A5144 | Codes changed |
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| Aug 22, 2026 | Florida Blue | Cinqair (Reslizumab)PayerPolicy · FLORIDA_BLUE-FLBLUE-CINQAIR-RESLIZUMAB-1990825C4B | Codes changed |
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