random_coverage_info
Wellsense Insurance plan (with Express Scripts PBM):
-prefers tacrolimus 0.03% or 0.1% over pimecrolimus 1%
-both tacrolimus and pimecrolimus require PA's, but pimecrolimus PA will only be approved if tacrolimus was tried and failed first
-allowable amount of 30g per 30 days for topicals unless reason of medical necessity for higher quantity is specified
-Will only approve the xolair prefilled syringe or auto-injector through pharmacy benefits for @ home administration
BCBS Federal Employee program:
-Will not cover Dupixent if the patient hasn't tried / failed other biologics including xolair and nucala
random_coverage_info.txt · Last modified: 2026/06/09 19:52 by 75.147.16.237