PayerPolicy
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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous Indications — CPB 0606 | AETNA Coverage Update AETNA Modified Rheumatology Sep 26, 2025
Somatostatin Analogs — CPB 0693 | AETNA Coverage Update AETNA Modified Endocrinology Sep 26, 2025
Mecasermin (Increlex) — CPB 0711 | AETNA Coverage Update AETNA Modified Endocrinology Sep 26, 2025
Fluocinolone Acetonide Intra- vitreal Implant (Retisert and Iluvien) — CPB 0719 | AETNA Coverage Update AETNA Modified Ophthalmology Sep 26, 2025
Discography — CPB 0733 | AETNA Coverage Update AETNA Modified Pain Management Sep 26, 2025
Pralatrexate — CPB 0740 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Eribulin Mesylate (Halaven) — CPB 0831 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Fecal Bacteriotherapy — CPB 0844 | AETNA Coverage Update AETNA Modified Gastroenterology Sep 26, 2025
Teduglutide (Gattex) — CPB 0849 | AETNA Coverage Update AETNA Modified Gastroenterology Sep 26, 2025
Decitabine — CPB 0868 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Temozolomide (Temodar) Injection — CPB 0876 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Canakinumab (Ilaris) — CPB 0881 | AETNA Coverage Update AETNA Modified Rheumatology Sep 26, 2025
Metreleptin (Myalept) — CPB 0882 | AETNA Coverage Update AETNA Modified Endocrinology Sep 26, 2025
Siltuximab (Sylvant) — CPB 0884 | AETNA Coverage Update AETNA Modified Hematology Sep 26, 2025
Talimogene Laherparepvec (Imlygic) — CPB 0900 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Daunorubicin-Cytarabine Liposome (Vyxeos) — CPB 0921 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Gemtuzumab Ozogamicin (Mylotarg) — CPB 0922 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Voretigene Neparvovec-rzyl (Luxturna) — CPB 0927 | AETNA Coverage Update AETNA Modified Ophthalmology Sep 26, 2025
Pegvaliase-pqpz (Palynziq) — CPB 0933 | AETNA Coverage Update AETNA Modified Endocrinology Sep 26, 2025
Epidural Injection Technologies — CPB 0934 | AETNA Coverage Update AETNA Modified Pain Management Sep 26, 2025
Mogamulizumab-kpkc (Poteligeo) — CPB 0940 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Tagraxofusp-erzs (Elzonris) — CPB 0947 | AETNA Coverage Update AETNA Modified Hematology Sep 26, 2025
Azacitidine — CPB 0960 | AETNA Coverage Update AETNA Modified Hematology Sep 26, 2025
Peanut Immunotherapy — CPB 0968 | AETNA Coverage Update AETNA Modified Oncology Sep 26, 2025
Mitomycin Pyelocalyceal Solution (Jelmyto) - 0972 — CPB 0972 | AETNA Coverage Update AETNA Modified Urology & Nephrology Sep 26, 2025

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