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Effective DatePolicy NameReviewed Date
5/15/2019 Cablivi® (caplacizumab-yhdp)
3/18/2026
1/1/2021 Cabometyx (cabozantinib)
2/18/2026
1/1/2025 Calcitonin gene-related peptide (CGRP) inhibitors
7/15/2026
1/1/2024 Calcium Channel Blocking Agents
2/18/2026
1/1/2021 Calquence® (acalabrutinib)
4/15/2026
1/1/2026 Camcevi (leuprolide mesylate)
4/15/2026
10/26/2022 Camzyos™ (mavacamten)
10/15/2025
1/1/2025 Caplyta® (lumateperone)
12/10/2025
1/1/2026 Caprelsa (vandetanib)
4/15/2026
11/24/2010 Carbaglu® (carglumic acid)
11/19/2025
1/1/2025 Carbidopa/Levodopa Extended-Release Products
9/17/2025
2/25/2026 Cardamyst™ (etripamil)
2/18/2026
4/27/2022 Carvykti™ (ciltacabtagene autoleucel)
8/19/2026
1/1/2023 Carvykti™ (ciltacabtagene autoleucel)
8/19/2026
7/1/2024 Carvykti™ (ciltacabtagene autoleucel)
8/19/2026
11/26/2025 Carvykti™ (ciltacabtagene autoleucel)
8/19/2026
4/27/2022 Carvykti™ (ciltacabtagene autoleucel)
8/19/2026
1/1/2019 Cayston® (aztreonam inhalation solution)
12/10/2025
1/1/2025 Cerdelga® (eliglustat)
3/18/2026
1/1/2025 Cerezyme® (imiglucerase)
3/18/2026
6/1/2026 Cerezyme® (imiglucerase)
3/18/2026
1/1/2026 CFTR Modulators
5/21/2025
1/1/2026 CFTR Modulators
4/15/2026
1/1/2015 Chenodal™ (chenodiol)
7/15/2026
1/1/2026 Cialis® (tadalafil)
3/18/2026
5/25/2022 Cibinqo® (abrocitinib)
12/10/2025
8/1/2026 Cimerli® (ranibizumab-eqrn)
5/20/2026
8/1/2026 Cimerli® (ranibizumab-eqrn)
5/20/2026
8/1/2026 Cimerli® (ranibizumab-eqrn)
5/20/2026
8/1/2026 Cimerli® (ranibizumab-eqrn)
5/20/2026
1/1/2026 Cimzia (certolizumab pegol)
5/20/2026
1/1/2025 Cinryze (C1 esterase inhibitor, human)
7/15/2026
1/1/2020 Cinvanti (aprepitant) emulsion
4/15/2026
1/1/2026 Clemastine fumarate syrup
1/21/2026
1/1/2020 Clindagel® (clindamycin phosphate gel)
10/15/2025
10/19/2016 Clinical Trials Policy
7/15/2026
1/1/2026 Clozapine orally disintegrating tablet and Versacloz® (clozapine oral solution)
12/11/2025
1/20/2017 Coagadex® (Coagulation Factor X [Human])
8/19/2026
11/27/2024 Cobenfy™ (xanomeline-trospium)
8/19/2026
3/25/2026 Colchicine Products
3/18/2026
9/27/2023 Columvi™ (glofitamab-gxbm)
2/18/2026
1/1/2026 Columvi™ (glofitamab-gxbm)
2/18/2026
5/1/2026 Columvi™ (glofitamab-gxbm)
2/18/2026
1/1/2026 Cometriq (cabozantinib)
1/21/2026
1/1/2021 Compounded Medications
7/15/2026
3/23/2023 Continuity of Care
5/21/2026
5/16/2013 Continuity of Care
5/21/2026
4/1/2024 Continuity of Care
5/14/2026
5/12/2025 Continuity of Care
5/14/2026
7/1/2025 Continuity of Care
5/15/2025
7/1/2024 Continuity of Care
1/8/2026
12/12/2018 Copiktra™ (duvelisib)
12/10/2025
1/20/2017 Corifact® (Factor XIII Concentrate [Human])
8/19/2026
1/1/2026 Corlanor® (ivabradine)
10/15/2025
1/1/2025 Corticotropin Products
3/18/2026
4/21/2021 Cosela™ (trilaciclib)
3/18/2026
11/1/2025 Cosela™ (trilaciclib)
3/18/2026
11/1/2025 Cosela™ (trilaciclib)
3/18/2026
1/1/2025 Cosentyx (secukinumab) intravenous solution
5/20/2026
1/1/2026 Cosentyx (secukinumab) subcutaneous solution
5/20/2026
1/1/2026 Cosentyx (secukinumab) subcutaneous solution
5/20/2026
1/1/2016 Cosopt® (dorzolamide and timolol ophthalmic solution)
4/15/2026
1/1/2026 Cotellic (cobimetinib)
4/15/2026
1/1/2006 Cough and Cold Medications
8/19/2026
5/28/2025 Crenessity® (crinecerfont)
4/15/2026
5/28/2015 Cresemba® (isavuconazonium sulfate)
2/18/2026
3/7/2013 Crofelemer Products
1/21/2026
1/1/2020 Crotamiton Topical Products
11/19/2025
1/1/2020 Crysvita® (burosumab)
2/18/2026
5/1/2026 Crysvita® (burosumab)
2/18/2026
5/1/2026 Crysvita® (burosumab)
2/18/2026
4/23/2025 Ctexli (chenodiol)
2/18/2026
5/24/2023 Cuvrior™ (trientine tetrahydrochloride)
12/10/2025
1/1/2017 Cycloset® (bromocriptine)
7/15/2026
1/1/2025 Cyramza (ramucirumab)
1/21/2026
3/1/2026 Cyramza (ramucirumab)
1/21/2026
3/1/2026 Cyramza (ramucirumab)
1/21/2026
5/9/2013 Cysteamine Ophthalmic Products (Cystaran®, Cystadrops®)
8/19/2026
1/1/2013 Cytogam® (cytomegalovirus immune globulin, human)
3/18/2026
5/16/2025 Cytotec® (misoprostol)
4/15/2026
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