Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Oscar Health | Filsuvez (birch triterpenes) (PG211, Ver. 3)PayerPolicy · OSCAR-PG211-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Fetzima (levomilnacipran) (PG063, Ver. 7)PayerPolicy · OSCAR-PG063-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Fesoterodine (Toviaz) (PG102, Ver. 6)PayerPolicy · OSCAR-FESOTERODINE-TOVIAZ-PG102-VER-6-8CBB033AC3 | New policy |
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| Aug 2, 2026 | Oscar Health | Febuxostat (Uloric) (PG066, Ver. 7)PayerPolicy · OSCAR-PG066-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Ezetimibe (Zetia) (PG073, Ver. 7)PayerPolicy · OSCAR-EZETIMIBE-ZETIA-PG073-VER-7-81E0CEE063 | New policy |
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| Aug 2, 2026 | Oscar Health | Exemestane (Aromasin) (PG084, Ver. 8)PayerPolicy · OSCAR-PG084-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Eucrisa (crisaborole) (PG023, Ver. 8)PayerPolicy · OSCAR-PG023-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Eohilia (budesonide) (PG216, Ver. 3)PayerPolicy · OSCAR-PG216-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Entecavir (Baraclude) (PG085, Ver. 7)PayerPolicy · OSCAR-PG085-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Emverm (mebendazole) (PG001, Ver. 7)PayerPolicy · OSCAR-PG001-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Ekterly (sebetralstat) (PG278, Ver. 1)PayerPolicy · OSCAR-PG278-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Duaklir (aclidinium/formoterol) (PG107, Ver. 6)PayerPolicy · OSCAR-PG107-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Doxylamine/Pyridoxine (Bonjesta, Diclegis) (PG096, Ver. 6)PayerPolicy · OSCAR-PG096-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Disposable Insulin Pump Devices (PG127, Ver. 5)PayerPolicy · OSCAR-PG127-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Direct Acting Antiviral Agents for Hepatitis C (PG045, Ver. 8)PayerPolicy · OSCAR-PG045-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Dipentum (olsalazine sodium) (PG244, Ver. 2)PayerPolicy · OSCAR-PG244-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Dimethyl Fumarate (Tecfidera) (PG222, Ver. 3)PayerPolicy · OSCAR-PG222-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Difluprednate ophthalmic drops (Durezol) (PG079, Ver. 7)PayerPolicy · OSCAR-PG079-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Dexlansoprazole (Dexilant) (PG047, Ver. 9)PayerPolicy · OSCAR-PG047-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Daybue (trofinetide) (PG148, Ver. 3)PayerPolicy · OSCAR-PG148-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Dapsone 7.5% Topical Gel (Aczone) (PG214, Ver. 3)PayerPolicy · OSCAR-PG214-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Dalfampridine (Ampyra) (PG217, Ver. 3)PayerPolicy · OSCAR-PG217-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Cromolyn Sodium 100mg/5mL Solution (PG087, Ver. 7)PayerPolicy · OSCAR-PG087-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Continuous Glucose Monitors (CGMs) Prescription Products (PG121, Ver. 8)PayerPolicy · OSCAR-PG121-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Combination products for treatment of helicobacter pylori (PG199, Ver. 2)PayerPolicy · OSCAR-PG199-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Cobenfy (xanomeline and trospium) (PG253, Ver. 3)PayerPolicy · OSCAR-PG253-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Cibinqo (abrocitinib) (PG111, Ver. 6)PayerPolicy · OSCAR-PG111-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | CeQur Simplicity Insulin Delivery System (PG192, Ver. 5)PayerPolicy · OSCAR-PG192-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Cardamyst (etripamil) (PG285, Ver. 1)PayerPolicy · OSCAR-PG285-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Caplyta (lumateperone) (PG175, Ver. 5)PayerPolicy · OSCAR-PG175-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Budesonide 3mg Delayed-Release Capsule (Entocort EC) (PG082, Ver. 7)PayerPolicy · OSCAR-BUDESONIDE-3MG-DELAYED-RELEASE-CAPSULE-ENTOCO-9BB8ACF94E | New policy |
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| Aug 2, 2026 | Oscar Health | Briviact (brivaracetam) Tablet, Solution (PG172, Ver. 4)PayerPolicy · OSCAR-PG172-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Brimonidine/Timolol (Combigan) (PG103, Ver. 6)PayerPolicy · OSCAR-PG103-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Brand Medically Necessary Drugs (PG186, Ver. 4)PayerPolicy · OSCAR-PG186-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Betaseron (interferon beta-1b) (PG220, Ver. 3)PayerPolicy · OSCAR-PG220-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Beqvez (fidanacogene elaparvovec) (CG118)PayerPolicy · OSCAR-BEQVEZ-FIDANACOGENE-ELAPARVOVEC-CG118-50D6909A9E | New policy |
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| Aug 2, 2026 | Oscar Health | Benzodiazepines for Acute Repetitive Seizures or Seizure Clusters (PG254, Ver. 6)PayerPolicy · OSCAR-PG254-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Belsomra (suvorexant) (PG064, Ver. 7)PayerPolicy · OSCAR-PG064-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Bafiertam (monomethyl fumarate) (PG219, Ver. 3)PayerPolicy · OSCAR-PG219-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Azstarys (serdexmethylphenidate and dexmethylphenidate) (PG130, Ver. 4)PayerPolicy · OSCAR-PG130-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | azelaic acid 15% gel (PG059, Ver. 8)PayerPolicy · OSCAR-PG059-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Avonex (interferon beta-1a) (PG218, Ver. 3)PayerPolicy · OSCAR-PG218-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Auvelity (dextromethorphan and bupropion) (PG128, Ver. 5)PayerPolicy · OSCAR-PG128-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Autoimmune Conditions Exception Criteria (2026, Ver. 7)PayerPolicy · OSCAR-AUTOIMMUNE-CONDITIONS-EXCEPTION-CRITERIA-2026-AF223E3C79 | New policy |
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| Aug 2, 2026 | Oscar Health | Aripiprazole oral disintegrating tablet, solution (PG173, Ver. 5)PayerPolicy · OSCAR-PG173-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Aptiom (eslicarbazepine acetate) (PG174, Ver. 3)PayerPolicy · OSCAR-PG174-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Antidiabetic Agents - Soliqua, Xultophy (PG153, Ver. 5)PayerPolicy · OSCAR-PG153-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Antidiabetic Agents - Glucagon-like Peptide-1 (GLP-1) Receptor Agonists (PG152, Ver. 9)PayerPolicy · OSCAR-PG152-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Antidiabetic Agent - SymlinPen (pramlintide acetate) (PG156, Ver. 5)PayerPolicy · OSCAR-ANTIDIABETIC-AGENT-SYMLINPEN-PRAMLINTIDE-ACET-B46A992FFC | New policy |
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| Aug 2, 2026 | Oscar Health | Alvesco (ciclesonide) (PG105, Ver. 6)PayerPolicy · OSCAR-PG105-PHARMACY | New policy |
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