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 | Blue Cross Blue Shield of Massachusetts | Elzonris Prior Authorization Request Form MP 009 prn | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Massachusetts | Soliris, Ultomiris, Complement 3 Glomerulopathy (C3G), Myasthenia Gravis, Paroxysmal nocturnal hemoglobinuria (PNH), and Neuromyelitis Optica Policy | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Massachusetts | Methotrexate Step Therapy | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Massachusetts | Glucagon-like Peptide-1 (GLP-1) Receptor Agonists and Related Drugs for the Treatment of Type 2 Diabetes | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Massachusetts | Entyvio (Vedolizumab) Policy | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Massachusetts | Elzonris (tagraxofusp-erzs) for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm prn | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN) - MEDICARE ADVANTAGE | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | GENETIC AND LABORATORY TESTING FOR USE OF FLUOROPYRIMIDINES (E.G., 5-FLUOROURACIL AND CAPECITABINE) IN PATIENTS WITH CANCER | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENZYME REPLACEMENT THERAPY - VELAGLUCERASE ALFA: VIMIZIM (J1322) RETIRED AS OF 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENZYME REPLACEMENT THERAPY - GALSULFASE: NAGLAZYME (J1458) RETIRED AS OF 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENZYME REPLACEMENT THERAPY - AGALSIDASE: FABRAZYME (J0180) RETIRED AS OF 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENZYME REPLACEMENT THERAPY - LARONIDASE: ALDURAZYME (J1931) retired as of 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | CEREZYME (IMIGLUCERASE) ENZYME REPLACEMENT THERAPY (J1786) retired as of 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENZYME REPLACEMENT THERAPY - IDURSULFASE: ELAPRASE (J1743) retired as of 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ELELYSO (TALIGLUCERASE) ENZYME REPLACEMENT THERAPY (J3060) retired as of 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPY - MEDICARE ADVANTAGE | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - INOTUZUMAB OZOGAMICIN: BESPONSA (J9229) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | FOSNETUPITANT PALONOSETRON INJECTION: AKYNZEO (C9033) RETIRED AS OF 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - SIPULEUCEL-T: PROVENGE (Q2043) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - ZIV-AFLIBERCEPT: ZALTRAP (J9400) (RERTIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - ERIBULIN MESYLATE: HALAVEN (J9179) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPY | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | MARQIBO (VINCRISTINE SULFATE LIPOSOME) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - CABAZITAXEL: JEVTANA (J9043) RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - BLINATUMOMAB: BLINCYTO (J9039) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - DANYELZA (NAXITAMAB-GQGK) (RETIRED AS OF 4/10/2024) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | EMICIZUMAB-KXWH: HEMLIBRA (J7170) (Retired 5/9/2019) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - MOZOBIL (PLERIXAFOR) (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | HERCEPTIN HYLECTA (TASTUZUMAB AND HYALURONIDASE-OYSK FOR SUBCUTANEOUS INJECTION) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - KYPROLIS (CARFILZOMIB) (retired as of 10/06/2022) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | J0693 FETROJA (CEFIDEROCOL) - (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | AIM MEDICAL POLICY - BENDAMUSTINE PRODUCTS (RETIRED AS OF 02/02/2023) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | TRIPTORELIN: TRIPTODUR (J3315) retired as of 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ERAVACYCLINE: XERAVA (no code) RETIRED AS OF 10/8/2020 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | NAB-PACLITAXEL; PACLITAXEL PROTEIN-BOUND PARTICLES | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | PHESGO (PERTUZUMAB, TRASTUZUMAB AND HYALURONIDASE-ZZXF) J3590 | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | H.P. ACTHAR GEL (REPOSITORY CORTICOTROPIN INJECTION) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | NON AIM MEDICAL POLICY - TILDRAKIZUMAB-ASMN: ILUMYA (J3245) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | REBYOTA (FECAL MICROBIOTA, LIVE - JSLM) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | MIRCERA (retired as of 06/10/2021) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ASPARLAS (RETIRED AS OF 02/4/2021) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENHERTU (FAM-TRASTUZUMAB DERUXTECAN-NXKI) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ELZONRIS (RETIRED AS OF 2/4/2021) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | OPDUALAG (NIVOLUMAB AND RELATLIMAB-RMBW) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | CORTROPHIN GEL (REPOSITORY CORTICOTROPHIN) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ENJAYMO (SUTIMLIMAB INTRAVENOUS INJECTION) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | KADCYLA (ADO-TRASTUZUMAB EMTANSINE) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | ADSTILADRIN (NADOFARAGENE FIRADENOVEC-VNCG) | Codes changed |
| Aug 22, 2026 | Blue Cross Blue Shield of Michigan and Blue Care Network | BLENREP (BELANTAMAB MAFODOTIN-BLMF) | Codes changed |