| BCBS Massachusetts | Oncology Drugs | 2026-01-15 |
| Cigna | Fixed Wing Air Ambulance Transport - (0555) | 2026-01-15 |
| Cigna | Gender Dysphoria Treatment - (0266) | 2026-01-15 |
| Medical Mutual | Adakveo ® (crizanlizumab-tmca) | 2026-01-15 |
| Medical Mutual | Benlysta® (belimumab injection for intravenous use)* | 2026-01-15 |
| Medical Mutual | Cabenuva® (cabotegravir extended-release | 2026-01-15 |
| Medical Mutual | Cosentyx ® (secukinumab injection for intravenous | 2026-01-15 |
| Medical Mutual | Givlaari ® (givosiran) | 2026-01-15 |
| Medical Mutual | Prior approval is required for some or all procedure codes listed in this Corporate Drug Policy. | 2026-01-15 |
| Medical Mutual | Imcivree (setmelanotide) | 2026-01-15 |