Category Filter
Policies & Guidelines
- Advanced Imaging
- Autism Spectrum Mandate
- Behavioral Health
- Blue Advantage Policies
- Chronic Condition Management
- Genetic Testing
- HealthSmartRx Smart RxAssist Program
- Hemophilia Drugs
- Medical Oncology Regimen Program
- Medical Policies
- Pharmacy
- Pre-Service Review (Precertification and Predetermination)
- Pre-Service Review (Precertification/Predetermination)
- Pre-Service Review (Predetermination/Precertification)
- Provider-Administered Drug Policies (Excluding Oncology)
- Provider-Administered Oncology Drug Policies
- Provider-Administered Oncology Drugs
- Radiation Therapy
- Self-Administered Drug Policies
- Transgender Services
Asset Publisher
Content with Policies & Guidelines Draft Provider-Administered Oncology Drug Policies .
print
Print
Back
Back
Paclitaxel Albumin-Bound: Abraxane®; Paclitaxel Albumin-Bound Ψ
Policy Number: VP-90001
...
print
Print
Back
Back
Adcetris® (brentuximab vedotin)
Policy Number: VP-90004
(Intravenous)
Last Review...
print
Print
Back
Back
Pemetrexed: Alimta®; Pemfexy™; Pemrydi RTU®; Pemetrexed Ψ
Policy Number: VP-90007
...
print
Print
Back
Back
Bevacizumab: Avastin®; Mvasi®; Zirabev®; Alymsys®; Vegzelma®; Avzivi®
Policy Number:...
print
Print
Back
Back
Erbitux® (cetuximab) (Intravenous)
Policy Number: VP-90038
(Intravenous)
Last...
print
Print
Back
Back
Fulvestrant: Faslodex®; Fulvestrant Ψ (Intramuscular)
Policy Number: VP-90043
...
print
Print
Back
Back
Halaven® (eribulin)
Policy Number: VP-90055
(Intravenous)
Document Number: IC-0055
...
print
Print
Back
Back
Kadcyla® (ado-trastuzumab emtansine)
Policy Number: VP-90092
(Intravenous)
Last...
print
Print
Back
Back
Perjeta® (pertuzumab)
Policy Number: VP-90096
(Intravenous)
Last Review Date:...
print
Print
Back
Back
Bendamustine: Treanda®; Bendeka®; Belrapzo®; Vivimusta™; Bendamustine Ψ
Policy Number:...
print
Print
Back
Back
Vectibix® (panitumumab) (Intravenous)
Policy Number: VP-90136
(Intravenous)
Last...
print
Print
Back
Back
Yervoy™ (ipilimumab) (Intravenous)
Policy Number: VP-90148
(Intravenous)
Last...
print
Print
Back
Back
Kyprolis® (carfilzomib) (Intravenous)
Policy Number: VP-90157
(Intravenous)
Last...
print
Print
Back
Back
Zaltrap® (ziv-aflibercept)
Policy Number: VP-90161
(Intravenous)
Last Review Date:...
print
Print
Back
Back
Gazyva (obinutuzumab) (Intravenous)
Policy Number: VP-90184
(Intravenous)
Last...
print
Print
Back
Back
Cyramza® (ramucirumab)
Policy Number: VP-90199
(Intravenous)
Last Review Date:...
print
Print
Back
Back
Blincyto® (blinatumomab)
Policy Number: VP-90225
(Intravenous)
Last Review Date:...