Part B Drug Policies
View Medicare Advantage Part B drug policies
- Abecma PDF File
- Actemra (tocilizumab) PDF File
- Adakveo (crizanlizumab-tmca) PDF File
- Adstiladrin (nadofaragene firadenovec-vncg) PDF File
- Aduhelm (aducanumab avwa) PDF File
- Alpha 1 Proteinase Inhibitors PDF File
- Amvuttra (vutrisiran) PDF File
- Arcalyst (rilonacept) PDF File
- Benlysta (belimumab) PDF File
- Beovu (brolucizumab-dbll) PDF File
- Botulinum Toxin Type A Injection PDF File
- Botulinum Toxin Type B (rimabotulinumtoxinB) PDF File
- Breyanzi (lisocabtagene maraleucel) PDF File
- Calcitonin Gene Related Peptide Antagonists PDF File
- Carvykti PDF File
- Cimzia (certolizumab pegol) PDF File
- Cinqair (reslizumab) PDF File
- Colony Stimulating Factors PDF File
- Crysvita (burosumab twza) PDF File
- Daratumumab Policy PDF File
- Denosumab (prolia xgeva) PDF File
- Efgartigimod Products PDF File
- Elevidys (delandistrogene moxeparvovec-rokl) PDF File
- Empaveli (pegcetacoplan) PDF File
- Empliciti (elotuzumab) PDF File
- Enjaymo (sutimlimab intravenous injection) PDF File
- Entyvio (vedolizumab) PDF File
- Enzyme Replacement Therapy for Fabry Disease PDF File
- Enzyme Replacement Therapy for Gauchers Disease PDF File
- Enzyme Replacement Therapy for Mucopolysaccharidosis PDF File
- Enzyme Replacement Therapy for Pompe Disease PDF File
- Evenity (romosozumab) PDF File
- Epkinly (epcoritamab-bysp) PDF File
- Evkeeza (evinacumab) PDF File
- Eylea (aflibercept) PDF File
- Fabrazyme (agalsidase beta) PDF File
- Fasenra (benralizumab) PDF File
- General Drug Utilization Management Policy PDF File
- Givlaari (givosiran) PDF File
- Hemgenix (etranacogene dezaparvovec-drlb) PDF File
- Hemophilia Class Policy PDF File
- Hyaluronic Acid Intra-Articular Injections PDF File
- Ilumya (tildrakizumab asmn) PDF File
- Imfinzi (durvalumab) PDF File
- Immune Globulin Replacement Therapy PDF File
- Infliximab PDF File
- Intravenous Iron Replacement PDF File
- Izervay (avacincaptad pegol) PDF File
- Kanuma (sebelipase alfa) PDF File
- Keytruda (pembrolizumab) PDF File
- Krystexxa (pegloticase) PDF File
- Kymriah (tisagenlecleucel) PDF File
- Lamzede (velmanase alfa-tycv) PDF File
- Lantidra (donislecel-jujn) PDF File
- Leqembi (lecanemab-irmb) PDF File
- Leqvio (inclisiran) PDF File
- Libtayo (cemiplimab rwlc) PDF File
- Lumizyme (alglucosidase alfa) PDF File
- Luxturna (voretigene neparvovec rzyl) PDF File
- Medical Benefit Oncology Drug Class Policy PDF File
- Nplate (romiplostim) PDF File
- Nucala (mepolizumab) PDF File
- Nulibry (fosdenopterin) PDF File
- Onpattro (patisiran) PDF File
- Opdivo (nivolumab) PDF File
- Orencia (abatacept) PDF File
- Oxlumo (lumasiran) PDF File
- Qalsody (tofersen) PDF File
- Radicava (edaravone) PDF File
- Ranibizumab PDF File
- Reblozyl (luspatercept aamt) PDF File
- Rebyota (fecal microbiota, live-jslm) PDF File
- Roctavian (valoctocogene roxaparvovec) PDF File
- Rystiggo (rozanolixizumab-noli) PDF File
- Saphnelo (anifrolumab-fnia) PDF File
- Simponi Aria (golimumab) PDF File
- Soliris (eculizumab) PDF File
- Spevigo (spesolimab-sbvo) PDF File
- Spinraza (nusinersen) PDF File
- Spravato (esketamine) PDF File
- Syfovre (pegcetacoplan) PDF File
- Tecartus (brexucabtagene autoleucel) PDF File
- Tecentriq (atezolizumab) PDF File
- Tegsedi (inotersen) PDF File
- Tepezza (teprotumumab trbw) PDF File
- Tezspire (tezepelumab-ekko) PDF File
- Trastuzumab PDF File
- Treatment Guidelines for Pulmonary Arterial Hypertension PDF File
- Trogarzo (ibalizumab) PDF File
- Tzield (teplizumab-mzwv) PDF File
- Ultomiris (ravulizumab) PDF File
- Uplizna (inebilizumab) PDF File
- Vabysmo (faricimab-svoa) PDF File
- Vyjuvek (beremagene geperpavec) PDF File
- Xiaflex (collagenase clostridium histolyticum) PDF File
- Xolair (omalizumab) PDF File
- Yervoy (ipilimumab) PDF File
- Yescarta (axicabtagene ciloleucel) PDF File
- Zilretta (triamcinolone acetonide) PDF File
- Zinplava (bezlotoxumab) PDF File
- Zolgensma (onasemnogene abeparvovec) PDF File
