Medical and Pharmacy Coverage Policies Home
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Pharmacy Coverage Policies
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Effective Date
Policy Name
Reviewed Date
5/22/2024
Fabhalta® (iptacopan) capsule
7/16/2025
1/1/2012
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)
2/19/2025
1/1/2020
Faslodex (fulvestrant)
3/20/2024
1/1/2025
Faslodex (fulvestrant)
9/17/2025
11/1/2025
Faslodex (fulvestrant)
9/17/2025
11/1/2025
Faslodex (fulvestrant)
9/17/2025
1/1/2020
FazaClo® (clozapine orally disintegrating tablet) and Versacloz® (clozapine oral solution)
7/17/2024
7/20/2017
FEIBA NF (Anti-Inhibitor Coagulant Complex)
6/18/2025
1/1/2026
Felbatol® (felbamate)
5/21/2025
7/15/2020
Fensolvi® (leuprolide acetate) subcutaneous syringe
11/19/2025
1/1/2026
Fensolvi® (leuprolide acetate) subcutaneous syringe
8/20/2025
1/1/2022
Ferriprox® (deferiprone)
8/21/2024
1/1/2024
Ferriprox® (deferiprone)
8/20/2025
1/1/2022
Fetzima® (levomilnacipran)
8/20/2025
1/1/2017
Fibrate Products
11/19/2025
1/1/2020
Fibrate Products
1/17/2024
8/23/2023
FILSPARI® (sparsentan)
10/15/2025
5/22/2024
Filsuvez® (birch triterpenes)
4/16/2025
1/1/2024
Fintepla® (fenfluramine)
4/17/2024
1/1/2025
Fintepla® (fenfluramine)
5/21/2025
1/1/2025
Firazyr (icatibant)
12/11/2025
1/1/2026
Firazyr (icatibant)
8/20/2025
1/1/2020
Firdapse® (amifampridine)
10/15/2025
1/1/2026
Firmagon (degarelix)
5/21/2025
1/1/2021
Flector®, Licart™ (diclofenac epolamine patch 1.3%)
6/18/2025
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
2/20/2025
1/1/2019
Forteo® (teriparatide injection)
3/19/2025
1/1/2026
Forteo® (teriparatide injection)
10/15/2025
1/1/2020
Fosaprepitant products (Emend, Focinvez)
4/16/2025
1/1/2026
Fosaprepitant products (Emend, Focinvez)
8/20/2025
5/19/2021
Fotivda (tivozanib)
12/10/2025
1/24/2024
Fruzaqla (fruquintinib)
8/20/2025
12/28/2022
Furoscix® (furosemide)
12/10/2025
11/26/2025
Fyarro (sirolimus protein-bound particles for injectable suspension)
11/19/2025
1/1/2026
Fyarro (sirolimus protein-bound particles for injectable suspension)
11/19/2025
1/1/2026
Fyarro (sirolimus protein-bound particles for injectable suspension)
11/19/2025
2/23/2022
Fyarro (sirolimus protein-bound particles for injectable suspension)
11/19/2025
1/1/2023
Fycompa® (perampanel)
11/19/2025
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