Part B Policies

Asthma Clinical guidance and coverage details for asthma management. Bevacizumab Policy for Bevacizumab administration and coverage. Bone Resorption Inhibitors Criteria and coverage for bone resorption inhibitor therapy. Colony Stimulating Factors Use and authorization guidelines for colony stimulating factors. Eye Injections Policy for intravitreal and other ophthalmic injections. Familial Hypercholesterolemia Coverage rules and criteria for FH treatment and testing. Gout Clinical policy for gout treatment options and medications. Immune Globulin Guidelines for coverage and administration of immune globulin. Nausea Coverage criteria for medication and therapy related to nausea. Neurotoxins Clinical policy for neurotoxin treatment and authorizations. Pemetrexed Policy for the use of Pemetrexed in clinical settings. Pertuzumab Coverage and administration guidelines for Pertuzumab. Rituximab Clinical indications and coverage for Rituximab therapy. Trastuzumab Guidelines and medical necessity criteria for Trastuzumab. Viscosupplements Coverage rules for viscosupplementation therapy.