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 | Horizon BCBSNJ | Brentuximab Vedotin (Adcetris)PayerPolicy · BCBSNJ-DRUGS-097-9DEFDC1DAA | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Oxaliplatin (Eloxatin)PayerPolicy · BCBSNJ-DRUGS-094-12BEA584EF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Ipilimumab (Yervoy)PayerPolicy · BCBSNJ-DRUGS-089-3FAB84A473 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Belimumab (Benlysta)PayerPolicy · BCBSNJ-DRUGS-088-EC543C5397 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Eribulin Mesylate (Halaven)PayerPolicy · BCBSNJ-DRUGS-086-B8CB10874F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pegloticase (Krystexxa)PayerPolicy · BCBSNJ-DRUGS-084-9906016B3D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pemetrexed Disodium (Alimta)PayerPolicy · BCBSNJ-DRUGS-083-DCE695AF19 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Paclitaxel Protein-Bound Particles (Abraxane)PayerPolicy · BCBSNJ-DRUGS-082-764D03C4F8 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Capsaicin 8% patch (Qutenza)PayerPolicy · BCBSNJ-DRUGS-081-9BB109B913 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Cabazitaxel (Jevtana)PayerPolicy · BCBSNJ-DRUGS-080-505ACBB396 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Denosumab (Prolia, Xgeva)PayerPolicy · BCBSNJ-DRUGS-079-F53CDE614D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Sipuleucel-T (Provenge)PayerPolicy · BCBSNJ-DRUGS-078-A871F7810B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Xiaflex (Collagenase Clostridium Histolyticum)PayerPolicy · BCBSNJ-DRUGS-077-36D9E88790 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Tocilizumab (Actemra)PayerPolicy · BCBSNJ-DRUGS-076-9B5D3DEC61 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Ofatumumab (Arzerra)PayerPolicy · BCBSNJ-DRUGS-075-6EDC00EB60 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pralatrexate (Folotyn)PayerPolicy · BCBSNJ-DRUGS-074-51EBF9E490 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Injectable Antiemetic Agents [Dolasetron (Anzemet), Granisetron (Kytril, Sustol), Ondansetron (Zofran), Palonosetron (Aloxi), Rolapitant (Varubi), Aprepitant (Cinvanti), Fosaprepitant (Emend), and Fosnetupitant/Palonosetron (Akynzeo), Amisulpride (Barhemsys)]PayerPolicy · BCBSNJ-DRUGS-072-283AA8103D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Vivitrol (Naltrexone Extended-Release) InjectionPayerPolicy · BCBSNJ-DRUGS-073-B978C9C1DF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Ustekinumab (Stelara)PayerPolicy · BCBSNJ-DRUGS-071-7E6AD401BE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Canakinumab (Ilaris)PayerPolicy · BCBSNJ-DRUGS-070-C757B1C40C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonist [Degarelix (Firmagon)]PayerPolicy · BCBSNJ-DRUGS-069-0A38791BE5 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Golimumab (Simponi Aria)PayerPolicy · BCBSNJ-DRUGS-068-B203904DCB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Mozobil (Plerixafor Injection)PayerPolicy · BCBSNJ-DRUGS-065-E80E3BF7E6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Eculizumab (Soliris) and Ravulizumab-cwvz (Ultomiris)PayerPolicy · BCBSNJ-DRUGS-061-2EAD318F66 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Certolizumab Pegol (Cimzia)PayerPolicy · BCBSNJ-DRUGS-059-C669BBD663 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax)]PayerPolicy · BCBSNJ-DRUGS-056-73D3DC4071 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Alkylating Agent(s) [Temozolomide intravenous (Temodar)]PayerPolicy · BCBSNJ-DRUGS-054-FE914BB325 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Natalizumab (Tysabri)PayerPolicy · BCBSNJ-DRUGS-050-C2C9BE12BE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | H.P. Acthar GelPayerPolicy · BCBSNJ-DRUGS-048-D839695A68 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Nutrient/Nutritional Panel TestingPayerPolicy · BCBSNJ-PATHOLOGY-131-DAFF3754D6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Polysomnography for Non‒Respiratory Sleep DisordersPayerPolicy · BCBSNJ-MEDICINE-087-46CA5A8564 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C InfectionPayerPolicy · BCBSNJ-PATHOLOGY-130-8B2D7A0648 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Epidurography, Radiological Supervision and InterpretationPayerPolicy · BCBSNJ-RADIOLOGY-144-642A7E24A0 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Testing Serum Vitamin D LevelsPayerPolicy · BCBSNJ-PATHOLOGY-126-197C05D3FC | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genetic Testing for Limb-Girdle Muscular DystrophiesPayerPolicy · BCBSNJ-PATHOLOGY-125-5A93248781 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Vagus Nerve Blocking Therapy for Treatment of ObesityPayerPolicy · BCBSNJ-SURGERY-151-E2BBF8D6AB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Focal Treatments for Prostate CancerPayerPolicy · BCBSNJ-TREATMENT-150-74B2FB6C80 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Amniotic Membrane and Amniotic FluidPayerPolicy · BCBSNJ-SURGERY-150-11DDEC5F40 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Alcohol Injections for Treatment of Peripheral NeuromasPayerPolicy · BCBSNJ-TREATMENT-149-C175FC23CD | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | TX1 Device for Percutaneous Ultrasonic Tenotomy or Fasciotomy for the Treatment of Chronic PainPayerPolicy · BCBSNJ-SURGERY-149-85927D6FB7 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genetic Testing for Duchenne and Becker Muscular DystrophyPayerPolicy · BCBSNJ-PATHOLOGY-123-801A9BA224 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genetic Testing for PTEN Hamartoma Tumor SyndromePayerPolicy · BCBSNJ-PATHOLOGY-121-EC18ADDB24 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Endovascular Therapies for Extracranial Vertebral Artery DiseasePayerPolicy · BCBSNJ-SURGERY-147-B928197FE4 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Prostatic Urethral LiftPayerPolicy · BCBSNJ-SURGERY-146-08C321E127 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pharmacogenetic Testing for Pain ManagementPayerPolicy · BCBSNJ-PATHOLOGY-120-40D5170BBD | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Patient-Controlled End Range of Motion Stretching DevicesPayerPolicy · BCBSNJ-D-M-E-046-0443E7F6DB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Molecular Testing for Chronic Heart Failure and Heart TransplantPayerPolicy · BCBSNJ-PATHOLOGY-119-3AD7ACE219 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Moderate Penetrance Variants Associated with Breast Cancer in Individuals at High Breast Cancer RiskPayerPolicy · BCBSNJ-PATHOLOGY-118-36B7CF169C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Artificial Pancreas Device SystemsPayerPolicy · BCBSNJ-D-M-E-045-1043993336 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Principles of Pain ManagementPayerPolicy · BCBSNJ-INTRODUCTION-010-F89E656AA5 | New policy |
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