Medical Policy Updates

Medical Policy Update for March 8, 2022

Medical Guidelines Reason for Update
IV Iron Replacement Therapy Added pediatric Injectafer indication.
Interleukin-5 Antagonist Added indication for Nucala of chronic rhinosinusitis with nasal polyposis with initial and continuation criteria for approval and updated dosing table/max units with new indication
Abatacept (Orencia®) Added new indication of prophylaxis of acute graft vs host disease with corresponding criteria and dosing table updates. Updated maximum units to 1500.