Part B Drug Policies
Explore pharmaceuticals covered by Medicare Advantage Part B drug policies.
A
Abecma (idecabtagene vicleucel)
Adakveo (crizanlizumab tmca)
Adstiladrin (nadofaragene firadenovec vncg)
Adzynma (ADAMTS13, recombinant krhn)
Aflibercept Products medical policy.pdf
Alpha 1 Proteinase Inhibitors
Amtagvi (lifileucel).pdf
Amvuttra (vutrisiran)
Anktiva (nogapendekin alfa inbakicept pmln)
Arcalyst (rilonacept) medical policy.pdf
Atezolizumab Products
Aucatzyl (obecabtagene autoleucel)
B
Benlysta (belimumab)
Beovu (brolucizumab dbll)
Bevacizumab Policy
Bimzelx (bimekizumab bkzx) medical policy.pdf
Botulinum Toxin Type A Injection
Botulinum Toxin Type B (rimabotulinumtoxinB)
Breyanzi (lisocabtagene maraleucel)
C
Calcitonin Gene Related Peptide (CGRP) Antagonists
Carvykti (ciltacabtagene autoleucel)
Casgevy (exagamglogene autotemcel)
Cimzia (certolizumab pegol) medical policy.pdf
Cinqair (reslizumab)
Colony Stimulating Factors
Cosentyx (secukinumab)
Crysvita (burosumab twza)
D
E
Eculizumab Products medical policy.pdf
Efgartigimod Products
Elevidys (delandistrogene moxeparvovec rokl)
Empaveli (pegcetacoplan)
Empliciti (elotuzumab)
Encelto (revakinagene taroretcel lwey)
Enjaymo (sutimlimab intravenous injection)
Entyvio (vedolizumab)
Enzyme Replacement Therapy for Fabry Disease
Enzyme Replacement Therapy for Gaucher’s Disease
Enzyme Replacement Therapy for Mucopolysaccharidosis
Enzyme Replacement Therapy for Pompe Disease
Epkinly (epcoritamab bysp)
Evenity (romosozumab) medical policy.pdf
Evkeeza (evinacumab)
F
G
General Drug Utilization Management Policy
Givlaari (givosiran).pdf
H
Hemgenix (etranacogene dezaparvovec drlb)
Hemophilia Class Policy
Hyaluronic Acid Intra Articular Injections
I
Ilumya (tildrakizumab asmn)
Imaavy (nipocalimab aahu)
Imdelltra (tarlatamab dlle)
Imfinzi (durvalumab)
Immune Globulin Replacement Therapy
Infliximab Policy
Intravenous Iron Replacement
Izervay (avacincaptad pegol)
K
Kanuma (sebelipase alfa)
Kebilidi (eladocagene exuparvovec tneq)
Keytruda (pembrolizumab)
Kisunla (donanemab azbt)
Krystexxa (pegloticase)
Kymriah (tisagenlecleucel)
L
Lamzede (velmanase alfa tycv)
Lantidra (donislecel jujn)
Leqembi (lecanemab irmb)
Libtayo (cemiplimab rwlc)
Luxturna (voretigene neparvovec rzyl)
Lyfgenia (lovotibeglogene autotemcel)
M
Medical Benefit Oncology Drug Class Policy
N
Niktimvo (axatilimab csfr)
Nivolumab Products
Nplate (romiplostim)
Nucala (mepolizumab)
Nulibry (fosdenopterin)
O
Ohtuvayre (ensifentrine) MEDICARE ONLY
Omalizumab Products
Omvoh IV (mirikizumab mrkz) MEDICARE ONLY
Onpattro (patisiran)
Orencia (abatacept)
Oxlumo (lumasiran)
P
PCSK9 Inhibitors
PiaSky (crovalimab akkz)
Pulmonary Arterial Hypertension Products MEDICARE ONLY
Q
R
Radicava (edaravone)
Ranibizumab
Reblozyl (luspatercept aamt)
Rebyota (fecal microbiota, live jslm)
Rituximab Policy
Rivfloza (nedosiran)
Roctavian (valoctocogene roxaparvovec)
Ryoncil (remestemcel L)
Rystiggo (rozanolixizumab noli)
Rytelo (imetelstat)
S
Saphnelo (anifrolumab fnia)
Simponi Aria (golimumab)
Skyrizi (risankizumab rzaa) MEDICARE ONLY
Spevigo (spesolimab sbvo)
Spinraza (nusinersen)
Spravato (esketamine)
Syfovre (pegcetacoplan)
T
Tecartus (brexucabtagene autoleucel)
Tecelra (afamitresgene autoleucel) medical policy.pdf
Tecvayli (teclistamab cqyv)
Tepezza (teprotumumab trbw)
Tezspire (tezepelumab ekko) MEDICARE ONLY
Tocilizumab Products
Trastuzumab Class Policy
Tremfya IV (guselkumab) MEDICARE ONLY
Trogarzo (ibalizumab)
Tzield (teplizumab mzwv)
U
Ultomiris (ravulizumab)
Uplizna (inebilizumab)
Ustekinumab Products
V
Vabysmo (faricimab svoa)
Veopoz (pozelimab bbfg)
Vyjuvek (beremagene geperpavec)
W
Wainua (eplontersen) MEDICARE ONLY
Y
Yervoy (ipilimumab)
Yescarta (axicabtagene ciloleucel)
Z
Zevaskyn (prademagene zamikeracel)
Zilretta (triamcinolone acetonice)
Zinplava (bezlotoxumab)
Zolgensma (onasemnogene abeparvovec)