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  • HOME
  • ABOUT US
    • Who We Are
    • What We Do
  • AMWINS RX ACCESS PRESCRIPTION DISCOUNT CARD
  • MEMBER CENTER
    • Member Portal
    • Pharmacy Look-up
    • FSL Member Portal
    • Amwins Rx Foundation Formulary 2025
    • 2025 Formulary Changes
    • ACA Preventative Drug List
    • Direct Member Reimbursement
    • Authorization of Representative
    • Amwins Rx Frequently Asked Questions
  • PROVIDERS
    • Medical Policies
    • Prior Authorization
    • Pharmacy Appeals
    • Provider and Pharmacy Contracting
  • WHO WE SERVE
    • Brokers/Consultants
    • Employer Groups
    • Labor Unions
    • Medicare Part D
    • Regional Health Plans
    • State & Local Government
    • TPAs
  • PROGRAMS & SERVICES
    • Patient Assistance
      • Patience Assistance
      • Amwins Rx 2025 PAP Drug List
    • Clinical Programs
    • Home Delivery
    • Specialty Pharmacy
    • Variable Copay Assistance
      • Variable Copay Assistance
      • Amwins Rx 2025 Copay Max Drug List
    • RESOURCES
      • Insights
      • Marketing Materials
    • Specialty Savings Solutions Drug List
Medical Policies
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These policies apply to drugs billed under the medical benefit.

Acthar Gel Medical Policy

Acute Hepatic Porphyria (AHP) Medical Policy

Adstiladrin Medical Policy

Alpha 1-Proteinase Inhibitors Medical Policy

Antipsychotics, Long-Acting Injectables Medical Policy

Bevacizumabs Medical Policy

Botulinum Toxins Medical Policy

Casgevy Medical Policy

Colony Stimulating Factors Medical Policy

Denosumabs Medical Policy

Elevidys Medical Policy

Erythropoesis Stimulating Agents (ESA) Medical Policy

Fabry Disease Medical Policy

Gaucher's Disease Type 1 Medical Policy

Gonadotropin Releasing Hormones (GnRH) Analogs Medical Policy

hATTR Medical Policy 

Hemgenix Medical Policy

Hemophilia Medical Policy

Hyaluronic Acid Derivatives (HAD) Medical Policy

Immune Globulins Medical Policy

Inflammatory Conditions Medical Policy

Infliximabs Medical Policy

IUDs Medical Policy

IV Iron Medical Policy

Lenmeldy Medical Policy

Lyfgenia Medical Policy

Mental Health Medical Policy

Multiple Sclerosis Medical Policy

Myasthenia Gravis Medical Policy

Nasopharyngeal Carcinoma (NPC) Medical Policy

Phesgo Medical Policy

Primary Hyperoxalruia Type 1 (PH1) Medical Policy

Prostacyclin Analogs Medical Policy

Rituximabs Medical Policy

Roctavian Medical Policy

Somatostatin Analogs Medical Policy

Specialty Asthma Medical Policy

Spinal Muscular Atrophy Medical Policy

Substance Use Disorder Medical Policy

Traztuzumabs Medical Policy

VEGF Inhibitors Medical Policy

Vyjuvek Medical Policy

Ycanth Medical Policy

Zevaskyn Medical Policy

Zynteglo Medical Policy

 

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