Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Gene Therapies for Duchenne Muscular Dystrophy | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Gene Therapies for Aromatic L-amino Acid Decarboxylase Deficiency | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Fentanyl, oral-transmucosal prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Factor and Non-Factor Anti-Hemophilic Drugs | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Esketamine Nasal Spray (SpravatoTM) and Intravenous Ketamine for Mental Health Conditions | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Erythropoietin, Recombinant Human and Hypoxia-Inducible Factor Inhibitors | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Entyvio (Vedolizumab) Policy | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Engineered T-Cell Therapy Synovial Sarcoma Policy | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Elzonris (tagraxofusp-erzs) for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | E Form medication prior auth instruction prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Drugs for the Treatment of Hereditary Angioedema HAE | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Drugs for Macular Degeneration and Diabetic Eye Disease | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Drugs for Cystic Fibrosis prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Drug Management and Prior Authorization prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Drug Management & Retail Pharmacy Prior Authorization and Step Therapy Policy | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Diabetes Step Therapy prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Compounded Medications prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Compound Medications Inclusion Drug List prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Compound Medications Exclusion Drug List prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | CNS Stimulants and Psychotherapeutic Agents prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Cell and Gene Therapy for Ocular Diseases | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Carelon Oncology Medication Management Program | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Botulinum Toxin Injections SP prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | 621B Quality Care Dosing Guidelines Drug List prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Asthma and Chronic Obstructive Pulmonary Disease Medication Management prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Antisense Oligonucleotide Medications prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Antihyperlipidemics prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Anti-Parkinsonism Drugs prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Anti-Migraine Policy | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Adoptive Cell Therapies for Melanoma | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | 621A Quality Care Dosing Guidelines prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Wearable Cardioverter Defibrillators prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Urological Supplies | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Ultrasound Accelerated Fracture Healing Device prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Transthoracic Echocardiography (TTE) | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Transesophageal Echocardiography (TEE) | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Transcutaneous Electrical Nerve Stimulation prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Transcatheter Tricuspid Valve Repair or Replacement | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Total Artificial Hearts and Implantable Ventricular Assist Devices prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Stationary Ultrasonic Diathermy Devices | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Single Chamber and Dual Chamber Permanent Cardiac Pacemakers | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Powered Exoskeleton for Ambulation in Patients with Lower Limb Disabilities prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Postsurgical Outpatient Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Patient-Actuated End Range Motion Stretching Devices prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Ostomy Supplies | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Orthotics for Progressive Scoliosis prn | New policy |
| Aug 2, 2026 | Blue Cross Blue Shield of Massachusetts | Myoelectric Prosthetic and Components for the Upper Limb prn | New policy |