| Aug 22, 2026 | Carelon Medical Benefits Management | Somatic Tumor TestingClinical Guideline · CARELON-SOMATIC-TUMOR-TESTING | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Prenatal Screening using Cell-free DNA [for Wellpoint Massachusetts]Clinical Guideline · CARELON-PRENATAL-SCREENING-USING-CELL-FREE-DNA-SUPERSEDED | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Predictive and Prognostic Polygenic TestingClinical Guideline · CARELON-PREDICTIVE-AND-PROGNOSTIC-POLYGENIC-TESTING | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Pharmacogenetic TestingClinical Guideline · CARELON-PHARMACOGENETIC-TESTING | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Hereditary Cancer TestingClinical Guideline · CARELON-HEREDITARY-CANCER-TESTING | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Genetic Testing for Inherited Conditions [for Wellpoint Massachusetts]Clinical Guideline · CARELON-GENETIC-TESTING-FOR-INHERITED-CONDITIONS-SUPERSEDED | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Genetic Liquid Biopsy in the Management of Cancer and Cancer Surveillance [for Indiana Medicaid]Clinical Guideline · CARELON-GENETIC-LIQUID-BIOPSY-IN-THE-MANAGEMENT-OF-CANCER-AND-CANCER-SURVEILLANCE-SUPERSEDED | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Chromosomal Microarray AnalysisClinical Guideline · CARELON-CHROMOSOMAL-MICROARRAY-ANALYSIS | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Upper Gastrointestinal Endoscopy (Esophagogastroduodenoscopy)Clinical Guideline · CARELON-UPPER-GASTROINTESTINAL-ENDOSCOPY-ESOPHAGOGASTRODUODENOSCOPY | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Skilled Nursing FacilityClinical Guideline · CARELON-skilled-nursing-facility-2024-09-01 | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Long-Term Acute Care Hospital Level of CareClinical Guideline · CARELON-LONG-TERM-ACUTE-CARE-HOSPITAL-LEVEL-OF-CARE | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Inpatient Rehabilitation Facility Level of CareClinical Guideline · CARELON-INPATIENT-REHABILITATION-FACILITY-LEVEL-OF-CARE | Codes changed |
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| Aug 22, 2026 | Carelon Medical Benefits Management | Preimplantation Embryo BiopsyClinical Guideline · CARELON-PREIMPLANTATION-EMBRYO-BIOPSY | Codes changed |
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| Aug 22, 2026 | BCBS Texas | WilatePayerPolicy · BCBSTX-RX501.160 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | Vutrisiran (Amvuttra) and Patisiran (Onpattro)PayerPolicy · BCBSTX-RX501.146 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | Ustekinumab and Associated BiosimilarsPayerPolicy · BCBSTX-RX501.114 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | Triamcinolone acetonidePayerPolicy · BCBSTX-OTH903.035 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | Octreotide acetatePayerPolicy · BCBSTX-RX501.156 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | LanreotidePayerPolicy · BCBSTX-RX501.155 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | Infliximab and Associated BiosimilarsPayerPolicy · BCBSTX-RX501.051 | Codes changed |
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| Aug 22, 2026 | BCBS Texas | EdaravonePayerPolicy · BCBSTX-RX501.095 | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Xolair (Omalizumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-XOLAIR-OMALIZUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Xiaflex (Collagenase Clostridium Histolyticum) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-XIAFLEX-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Vyjuvek (Beramagene Geperpavec-Svdt) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-VYJUVEK-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-VYEPTI-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ustekinumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-USTEKINUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Uplizna (Inebilizumab-Cdon) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-UPLIZNA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tzield (Teplizumab-Mzwv) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TZIELD-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Trogarzo (Ibalizumab-Uiyk) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TROGARZO-IBALIZUMAB-UIYK-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tremfya (Guselkumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TREMFYA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tezspire (Tezepelumab-Ekko) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TEZSPIRE-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tepezza (Teprotumumab-Trbw) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TEPEZZA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Spevigo (Spesolimab-Sbzo) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SPEVIGO-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Skyrizi (Risankizumab-Rzaa) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SKYRIZI-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Simponi Aria (Golimumab) Injection for Intravenous Infusion – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SIMPONI-ARIA-GOLIMUMAB-INJECTION-INTRAVENOUS-INFUSION-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Saphnelo (Anifrolumab-Fnia) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SAPHNELO-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | RNA-Targeted Therapies (Amvuttra and Onpattro) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-RNA-TARGETED-THERAPIES-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-RITUXAN-RITUXIMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Respiratory Interleukins (Cinqair, Fasenra, & Nucala) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-RESPIRATORY-INTERLEUKINS-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Rebyota (Fecal Microbiota, Live-Jslm) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-REBYOTA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Reblozyl (Luspatercept-Aamt) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-REBLOZYL-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Qalsody (Tofersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-QALSODY-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Oxlumo (Lumasiran) and Rivfloza (Nedosiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OXLUMO-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Orencia (Abatacept) Injection for Intravenous Infusion – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ORENCIA-ABATACEPT-INJECTION-INTRAVENOUS-INFUSION-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OCREVUS-OCRELIZUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Nplate (Romiplostim) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NPLATE-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Niktimvo (Axatilimab-Csfr) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NIKTIMVO-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Natalizumab (Tyruko & Tysabri) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NATALIZUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Leqvio (Inclisiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LEQVIO-INCLISIRAN-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Lemtrada (Alemtuzumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LEMTRADA-ALEMTUZUMAB-CS | Codes changed |
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