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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Asfotase alfa (Strensiq) — CPB 0901 | AETNA Coverage Update AETNA Modified Endocrinology Jan 15, 2026
Trabectedin (Yondelis) — CPB 0903 | AETNA Coverage Update AETNA Modified Oncology Jan 15, 2026
Burosumab-twza (Crysvita) — CPB 0932 | AETNA Coverage Update AETNA Modified Endocrinology Jan 15, 2026
Remdesivir (Veklury) — CPB 0982 | AETNA Coverage Update AETNA Modified Infectious Disease Jan 15, 2026
Naxitamab-gqgk (Danyelza) — CPB 0984 | AETNA Coverage Update AETNA Modified Oncology Jan 15, 2026
Tisotumab Vedotin-tftv (Tivdak) — CPB 0998 | AETNA Coverage Update AETNA Modified Oncology Jan 15, 2026
Venous Stenting for the Treatment of Idiopathic Intracranial Hypertension — CPB 1039 | AETNA Coverage Update AETNA Modified Cardiology, Neurology & Neurosurgery Jan 15, 2026
Benign Prostatic Hyperplasia — CPB 0079 | AETNA Coverage Update AETNA Modified Urology & Nephrology Jan 14, 2026
Peripheral Vascular Stents — CPB 0785 | AETNA Coverage Update AETNA Modified Cardiology Jan 14, 2026
Embolization: Selected Procedures — CPB 0856 | AETNA Coverage Update AETNA Modified Interventional Procedures Jan 14, 2026
Evinacumab-dgnb (Evkeeza) — CPB 0989 | AETNA Coverage Update AETNA Modified Endocrinology Jan 14, 2026
Guselkumab (Tremfya) — CPB 1011 | AETNA Coverage Update AETNA Modified Dermatology Jan 14, 2026
Genetic Testing — CPB 0140 | AETNA Coverage Update AETNA Modified Laboratory Jan 11, 2026
Electroencephalographic (EEG) Video Monitoring — CPB 0322 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Jan 11, 2026
Strontium Chloride Sr-89 (Metastron) — CPB 0361 | AETNA Coverage Update AETNA Modified Oncology Jan 11, 2026
Metabolic and Environmental Profiling for Kidney Stone Risk — CPB 0392 | AETNA Coverage Update AETNA Modified Urology & Nephrology Jan 11, 2026
Interferons — CPB 0404 | AETNA Coverage Update AETNA Modified Hematology Jan 11, 2026
Bathroom and Toilet Equipment and Supplies — CPB 0429 | AETNA Coverage Update AETNA Modified DME & Home Health Jan 11, 2026
Givosiran (Givlaari) — CPB 0961 | AETNA Coverage Update AETNA Modified Hematology Jan 11, 2026
Multiple Sclerosis — CPB 0264 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Jan 10, 2026
Rituximab — CPB 0314 | AETNA Coverage Update AETNA Modified Hematology Jan 9, 2026
Infliximab — CPB 0341 | AETNA Coverage Update AETNA Modified Rheumatology Jan 9, 2026
Adalimumab — CPB 0655 | AETNA Coverage Update AETNA Modified Rheumatology Jan 9, 2026
Bezlotoxumab (Zinplava) — CPB 0914 | AETNA Coverage Update AETNA Modified Infectious Disease Jan 8, 2026
Occupational Therapy Services — CPB 0250 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Jan 5, 2026

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