Medical and Pharmacy Coverage Policies Home

Pharmacy Coverage Policies

Search Results

Effective DatePolicy NameReviewed Date
5/22/2024 Fabhalta® (iptacopan) capsule
7/15/2026
1/1/2012 Fabrazyme® (agalsidase beta) and Elfabrio® (pegunigalsidase alfa)
12/10/2025
2/1/2026 Fabrazyme® (agalsidase beta) and Elfabrio® (pegunigalsidase alfa)
12/10/2025
2/1/2026 Fabrazyme® (agalsidase beta) and Elfabrio® (pegunigalsidase alfa)
12/10/2025
1/20/2017 Factor IX Replacement Products (Hemophilia B)
12/10/2025
12/17/2025 Factor IX Replacement Products (Hemophilia B)
12/10/2025
1/20/2017 Factor VIII Replacement Products (Hemophilia A)
12/10/2025
12/17/2025 Factor VIII Replacement Products (Hemophilia A)
12/10/2025
1/1/2024 Fanapt® (iloperidone)
1/21/2026
1/1/2025 Faslodex (fulvestrant)
9/17/2025
11/1/2025 Faslodex (fulvestrant)
9/17/2025
11/1/2025 Faslodex (fulvestrant)
9/17/2025
7/20/2017 FEIBA NF (Anti-Inhibitor Coagulant Complex)
4/15/2026
1/1/2026 Felbatol® (felbamate)
5/21/2025
1/1/2026 Felbatol® (felbamate)
4/15/2026
7/15/2020 Fensolvi® (leuprolide acetate) subcutaneous syringe
11/19/2025
1/1/2026 Fensolvi® (leuprolide acetate) subcutaneous syringe
8/20/2025
1/1/2024 Ferriprox® (deferiprone)
6/17/2026
1/1/2022 Fetzima® (levomilnacipran)
7/15/2026
1/1/2017 Fibrate Products
11/19/2025
8/23/2023 FILSPARI® (sparsentan)
7/15/2026
5/22/2024 Filsuvez® (birch triterpenes)
2/18/2026
1/1/2025 Fintepla® (fenfluramine)
4/15/2026
1/1/2025 Firazyr (icatibant)
1/15/2026
1/1/2026 Firazyr (icatibant)
8/20/2025
1/1/2020 Firdapse® (amifampridine)
10/15/2025
1/1/2026 Firmagon (degarelix)
4/15/2026
1/1/2021 Flector®, Licart™ (diclofenac epolamine patch 1.3%)
6/17/2026
9/5/2018 Florida Statute 456.44(5)(a) Opioid Days' Supply Limitation
11/21/2024
10/29/2009 Folotyn® (pralatrexate)
11/19/2025
1/1/2026 Folotyn® (pralatrexate)
11/19/2025
1/1/2026 Folotyn® (pralatrexate)
11/19/2025
1/1/2026 Folotyn® (pralatrexate)
11/19/2025
1/1/2021 Foot Bath Medications
5/21/2025
10/15/2025 Foot Bath Medications
10/16/2025
1/1/2019 Formulary Tier Exception
2/19/2026
1/1/2026 Forteo® (teriparatide injection)
2/18/2026
2/25/2026 Forzinity™ (Elamipretide)
2/18/2026
1/1/2026 Fosaprepitant products (Emend, Focinvez)
6/17/2026
5/19/2021 Fotivda (tivozanib)
12/10/2025
1/24/2024 Fruzaqla (fruquintinib)
5/20/2026
12/28/2022 Furoscix® (furosemide)
12/10/2025
11/26/2025 Fyarro (sirolimus protein-bound particles for injectable suspension)
6/17/2026
1/1/2026 Fyarro (sirolimus protein-bound particles for injectable suspension)
6/17/2026
1/1/2026 Fyarro (sirolimus protein-bound particles for injectable suspension)
6/17/2026
2/23/2022 Fyarro (sirolimus protein-bound particles for injectable suspension)
6/17/2026
1/1/2023 Fycompa® (perampanel)
11/19/2025
  • 1

Search by Keyword or Policy Number