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 | Sublingual Allergy Immunotherapy (SLIT) (PG093, Ver. 7)PayerPolicy · OSCAR-PG093-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Adefovir Dipivoxil (Hepsera) (PG081, Ver. 7)PayerPolicy · OSCAR-PG081-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Adbry (tralokinumab) (PG110, Ver. 8)PayerPolicy · OSCAR-PG110-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | iDose TR (travoprost intracameral implant) (CG115, Ver. 5)PayerPolicy · OSCAR-CG115-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Zynteglo (betibeglogene autotemcel) (CG073, Ver. 4)PayerPolicy · OSCAR-CG073-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Onasemnogene abeparvovec (Zolgensma [-xioi]; Itvisma, [-brve]) (CG061, Ver. 8)PayerPolicy · OSCAR-CG061-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Zevaskyn (prademagene zamikeracel) (PG277, Ver. 1)PayerPolicy · OSCAR-PG277-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Yescarta (axicabtagene ciloleucel) (CG063, Ver. 9)PayerPolicy · OSCAR-CG063-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ycanth (cantharidin) (PG162, Ver. 5)PayerPolicy · OSCAR-PG162-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Winrevair (sotatercept-csrk) (PG207, Ver. 3)PayerPolicy · OSCAR-PG207-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Wearable Cardioverter-Defibrillator Devices (CG019, Ver. 13)PayerPolicy · OSCAR-CG019-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Vyvgart (efgartigimod alfa-fcab) and Vyvgart Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) (PG191, Ver. 5)PayerPolicy · OSCAR-PG191-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Vyjuvek (beremagene geperpavec-svdt) (PG147, Ver. 4)PayerPolicy · OSCAR-PG147-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Viscosupplementation for Osteoarthritis (CG054, Ver. 10)PayerPolicy · OSCAR-CG054-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Varubi (rolapitant) (PG178, Ver. 3)PayerPolicy · OSCAR-PG178-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Varicose Vein Treatment (CG004, Ver. 14)PayerPolicy · OSCAR-CG004-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ultomiris (ravulizumab-cwvz) (PG189, Ver. 4)PayerPolicy · OSCAR-PG189-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Tzield (teplizumab-mzwv) (CG072, Ver. 5)PayerPolicy · OSCAR-CG072-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Treatment and Removal of Benign Skin Lesions (CG015, Ver. 11)PayerPolicy · OSCAR-CG015-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Transcranial Doppler (CG035, Ver. 11)PayerPolicy · OSCAR-CG035-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Total Shoulder Arthroplasty (Replacement) and Reverse Total Shoulder Arthroplasty (CG076, Ver. 6)PayerPolicy · OSCAR-CG076-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Total Knee Arthroplasty (Replacement) (CG069, Ver. 7)PayerPolicy · OSCAR-CG069-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Total Hip Arthroplasty (Replacement) (CG070, Ver. 7)PayerPolicy · OSCAR-CG070-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Thyrogen (thyrotropin alfa) (PG140, Ver. 4)PayerPolicy · OSCAR-PG140-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Tevimbra (tislelizumab) (PG210, Ver. 3)PayerPolicy · OSCAR-PG210-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Testosterone Replacement Therapy (PG122, Ver. 6)PayerPolicy · OSCAR-PG122-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Tepezza (teprotumumab-trbw) (PG273, Ver. 1)PayerPolicy · OSCAR-PG273-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Syfovre (pegcetacoplan injection) (PG150, Ver. 4)PayerPolicy · OSCAR-PG150-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Step Therapy Exception-REG (PG270, Ver. 2)PayerPolicy · OSCAR-PG270-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Spravato (esketamine) (PG257, Ver. 2)PayerPolicy · OSCAR-PG257-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Spinal Orthoses (Back Braces) (CG051, Ver. 9)PayerPolicy · OSCAR-CG051-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Spevigo (spesolimab-sbzo) (CG071, Ver. 5)PayerPolicy · OSCAR-CG071-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Soliris (eculizumab) and Biosimilars (PG188, Ver. 4)PayerPolicy · OSCAR-PG188-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Skysona (elivaldogene autotemcel) (CG074, Ver. 4)PayerPolicy · OSCAR-CG074-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Skilled Nursing Facility Care (CG042, Ver. 12)PayerPolicy · OSCAR-CG042-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Site-of-Service (Site-of-Care) (Infusion Therapy & Physician-Administered Drugs) (CG046, Ver. 11)PayerPolicy · OSCAR-CG046-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Gender-Affirming Services (CG017, Ver. 17)PayerPolicy · OSCAR-CG017-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Rystiggo (rozanolixizumab-noli) (PG190, Ver. 4)PayerPolicy · OSCAR-PG190-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Roctavian (valoctocogene roxaparvovec-rvox) (PG163, Ver. 3)PayerPolicy · OSCAR-PG163-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Rezzayo (rezafungin) (PG145, Ver. 4)PayerPolicy · OSCAR-PG145-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Rebyota (fecal microbiota, live - jslm) (PG240, Ver. 2)PayerPolicy · OSCAR-PG240-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Quantity Limit Exception Criteria (PG200, Ver. 4)PayerPolicy · OSCAR-PG200-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Qalsody (tofersen) (PG151, Ver. 5)PayerPolicy · OSCAR-PG151-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors (PG068, Ver. 9)PayerPolicy · OSCAR-PG068-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Prevymis (letermovir) (PG280, Ver. 1)PayerPolicy · OSCAR-PG280-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Pressure-Reducing Support Surfaces (CG007, Ver. 12)PayerPolicy · OSCAR-CG007-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Prescription Digital Therapeutics (PG142, Ver. 3)PayerPolicy · OSCAR-PG142-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Prenatal Testing (CG043, Ver. 12)PayerPolicy · OSCAR-CG043-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Pneumatic Compression Devices (CG049, Ver. 10)PayerPolicy · OSCAR-CG049-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | PiaSky (crovalimab-akkz) (PG262, Ver. 2)PayerPolicy · OSCAR-PG262-MEDICAL | New policy |
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