Medical drug program updates

Updates to existing prior authorization programs

Drug(s)

Effective date

Policy & additional Information

Xolair (omalizumab)

8/1/2024

Xolair (omalizumab)

 

Breyanzi (lisocabtagene maraleucel)

 

6/1/2024

Breyanzi (lisocabtagene maraleucel)

 

Breyanzi (HCPCS Q2054) will now be covered, with prior authorization, for Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL).