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 | UnitedHealthcare | Krystexxa (Pegloticase) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KRYSTEXXA-PEGLOTICASE-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Intravenous Iron Replacement Therapy (Feraheme, Injectafer, & Monoferric) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-IV-IRON-REPLACEMENT-THERAPY-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Infliximab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INFLIXIMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ilumya (Tildrakizumab-Asmn) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ILUMYA-TILDRAKIZUMAB-ASMN-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ilaris (Canakinumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ILARIS-CANAKINUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Givlaari (Givosiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GIVLAARI-GIVOSIRAN-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Gazyva (Obinutuzumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GAZYVA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Gamifant (Emapalumab-Lzsg) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GAMIFANT-EMAPALUMAB-LZSG-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Evkeeza (Evinacumab-Dgnb) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-EVKEEZA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Evenity (Romosozumab-Aqqg) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-EVENITY-ROMOSOZUMAB-AQQG-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Entyvio (Vedolizumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ENTYVIO-VEDOLIZUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Enjaymo (Sutimlimab-Jome) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ENJAYMO-SUTIMLIMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Edaravone – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-EDARAVONE-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Crysvita (Burosumab-Twza) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-CRYSVITA-BUROSUMAB-TWZA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Cosentyx (Secukinumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-COSENTYX-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Cimzia (Certolizumab Pegol) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-CIMZIA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Buprenorphine (Brixadi & Sublocade) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BUPRENORPHINE-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Briumvi (Ublituximab-Xiiy) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BRIUMVI-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Benlysta (Belimumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BENLYSTA-BELIMUMAB-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Adzynma (ADAMTS13, Recombinant-Krhn) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ADZYNMA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Adakveo (Crizanlizumab-Tmca) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ADAKVEO-CRIZANLIZUMAB-TMCA-CS | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Xolair (Omalizumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-XOLAIR-OMALIZUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Xiaflex (Collagenase Clostridium Histolyticum) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-XIAFLEX-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Vyjuvek (Beramagene Geperpavec-Svdt) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYJUVEK-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYEPTI-EPTINEZUMAB-JJMR-INDIVIDUAL-EXCHA-91EC036520 | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ustekinumab – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-USTEKINUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Uplizna (Inebilizumab-Cdon) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-UPLIZNA-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tzield (Teplizumab-Mzwv) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TZIELD | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tremfya (Guselkumab) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TREMFYA | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tezspire (Tezepelumab-Ekko) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TEZSPIRE-TEZEPELUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Tepezza (Teprotumumab-Trbw) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TEPEZZA-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Simponi Aria (Golimumab) Injection for Intravenous Infusion – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SIMPONI-ARIA-GOLIMUMAB-INJECTION-IV-INFUSION-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RITUXAN-RITUXIMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Respiratory Interleukins (Cinqair, Fasenra, & Nucala) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RESPIRATORY-INTERLEUKINS-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Rebyota (Fecal Microbiota, Live-Jslm) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REBYOTA-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Qalsody (Tofersen) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-QALSODY | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OCREVUS-OCRELIZUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Niktimvo (Axatilimab-Csfr) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-NIKTIMVO | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Natalizumab (Tyruko & Tysabri) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-NATALIZUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Leqvio (Inclisiran) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEQVIO-INCLISIRAN-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Leqembi (Lecanemab-Irmb) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEQEMBI-LECANEMAB-IRMB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Lemtrada (Alemtuzumab) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEMTRADA-ALEMTUZUMAB | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Krystexxa (Pegloticase) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KRYSTEXXA-PEGLOTICASE-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Kisunla (Donanemab-Azbt) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KISUNLA-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Intravenous Iron Replacement Therapy (Feraheme, Injectafer, & Monoferric) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVENOUS-IRON-REPLACEMENT-THERAPY-FER-77E39326F4 | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Infliximab (Avsola, Inflectra, Remicade, & Renflexis) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INFLIXIMAB-REMICADE-INFLECTRA-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ilumya (Tildrakizumab-Asmn) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ILUMYA-TILDRAKIZUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Ilaris (Canakinumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ILARIS-CANAKINUMAB-IEX | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Givlaari (Givosiran) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-GIVLAARI-GIVOSIRAN | Codes changed |
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| Aug 22, 2026 | UnitedHealthcare | Gazyva (Obinutuzumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-GAZYVA-IEX | Codes changed |
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