06/04/2019

Newsletters of Interest

A Few Articles You Won’t Want to Miss:

• Changes to our National Precertification List (NPL)
• Changes to commercial drug lists begin on July 1, 2019

And Much More….MARCH OfficeLink Updates Qtly Issue Available HERE

Current Issue Available HERE

Current Issue Available HERE 
(Once on the site, scroll to the bottom and choose NEWS on the left side)

A Few Articles You Won’t Want to Miss:

• Humana Updates Preauthorization and Notification Lists for 2019
• Changes Announced for 2019 Humana Formularies
• New and Revised Pharmacy and Medical Coverage Policies Available

And Much More…Latest Issue Available HERE 
(Latest update February 2019)

 A Few Articles You Won’t Want to Miss:

• Front & Center
  • Updates to Requirements for Specialty Medical Injectable Drugs for UnitedHealthcare
    Commercial and Community Plan Members

• UnitedHealthcare Commercial
  • UnitedHealthcare Genetic and Molecular Lab Testing Notification/Prior Authorization
    Requirement Expanding to Additional Plans and Additional CPT Codes
  • Peer Comparison Reports Now Available
  • UnitedHealthcare Offers the Cancer Support Program for Your Eligible Members

• UnitedHealthcare Reimbursement Policies
  • Commercial Reimbursement Policy Updates

• UnitedHealthcare Community Plan
  • Prior Authorization Required for Therapeutic Radiopharmaceuticals

And Much More…JUNE Monthly Issue Available HERE

Oncology Related Articles You Won’t Want to Miss:

Medical Benefit Drug Policy Updates

New:

• ZOLGENSMA^® (ONASEMNOGENE ABEPARVOVEC-XIOI)

Revised:

• ENTYVIO^® (VEDOLIZUMAB)
• INFLIXIMAB (REMICADE^® , INFLECTRA™, RENFLEXIS™)
• KETALAR^® (KETAMINE) AND SPRAVATO™ (ESKETAMINE)
• OFF-LABEL/UNPROVEN SPECIALTY DRUG TREATMENT

Coverage Determination Guideline (CDG)

Updated:

• CLINICAL TRIALS

Utilization Review Guideline (URG) Updates

Revised:

• PROVIDER ADMINISTERED DRUGS – SITE OF CARE

JUNE Monthly Issue Available HERE