Políticas Médicas

Las políticas médicas son documentos que definen el reconocimiento de cubierta para tecnologías, procedimientos y tratamientos. Las declaraciones de necesidad médica en las políticas, sobre si una tecnología, procedimiento, tratamiento, suplido, equipo, medicamento u otro servicio mejora el resultado en la salud de la población para la cual dicha tecnología o tratamiento fue diseñado se basan en evidencia científica, estudios clínicos y opiniones profesionales de nuestros proveedores y de las organizaciones médicas reconocidas.

Cada documento desplegado en este sitio Web se provee con propósitos informativos solamente y no es una autorización, explicación de beneficios o un contrato. El recibir beneficios está sujeto a la satisfacción de todos los términos y condiciones de la cubierta. La tecnología médica cambia constantemente y nos reservamos el derecho de revisar y actualizar nuestras políticas periódicamente.

Tabla de Políticas Médicas

ID Título Revisión Descripción Acceso
05.001.012 (Trastuzumab) Herceptin Sep 2025 In certain cancers, the human epidermal growth factor receptor 2 (her2) gene is amplified and overexpressed.... Ver
05.001.014 Intravenous Anesthetics For The Treatment Of Chronic Pain And Psychiatric Disorders Dec 2025 Intravenous (iv) infusion of lidocaine or ketamine has been investigated for the treatment of migraine and... Ver
05.001.015 Advanced Therapies For Pharmacologic Treatment Of Pulmonary Hypertension Dec 2025 Pulmonary hypertension (ph) is a chronic, progressive condition characterized by abnormally high pulmonary... Ver
05.001.016 Uses Of Monoclonal Antibodies For The Treatment Of Non-Hodgkin Lymphoma Dec 2024 Monoclonal antibodies targeted to cancer-associated antigens have been approved by the u.s. food and drug... Ver
05.001.017 Bevacizumab Dec 2025 Bevacizumab is a humanized monoclonal antibody directed against vascular endothelial growth factor a... Ver
05.001.019 ABATACEPT (ORENCIA) Dec 1969 From the decade of 1990 the advances in molecular biology have shown new approaches to the treatment for... Ver
05.001.021 Vandetanib Oct 2024 The medication vandetanib is an inhibitor of the "tyrosine kinase" which is selectively targeted to... Ver
05.001.023 Newer Oral Anticoagulants Jul 2020 ... Ver
05.001.024 Ado-Trastuzumab Emtansine (Trastuzumab-Dm1) For Treatment Of Her2-Positive Malignancies Aug 2025 Ado-trastuzumab emtansine, also known as trastuzumab-dm1 (t-dm1), is an antibody-drug conjugate that links... Ver
05.001.026 Pertuzumab For Treatment Of Malignancies Nov 2025 Pertuzumab (perjeta), a monoclonal antibody, is a human epidermal growth factor receptor 2 (her2) antagonist.... Ver
05.001.028 Treatment For Spinal Muscular Atrophy Apr 2026 Spinal muscular atrophy is an inherited disorder caused by homozygous deletions or variants in the smn1 gene.... Ver
05.001.029 Nononcologic Uses Of Rituximab Nov 2025 ... Ver
05.001.030 Testosterone Replacement Therapies Jan 2026 Testosterone replacement therapy is the primary treatment for androgen deficiency in men. testosterone... Ver
05.001.031 Treatment For Duchenne Muscular Dystrophy Feb 2026 Duchenne muscular dystrophy is an inherited disorder that results in progressive muscle weakness and loss of... Ver
05.001.032 Buprenorphine Implant For Treatment Of Opioid Dependence Oct 2025 Buprenorphine is a partial μ-opioid agonist used to treat patients with an opioid addiction. administered... Ver
05.001.033 Treatment Of Hereditary Transthyretin-Mediated Amyloidosis In Adult Patients Jul 2025 Hereditary transthyretin-mediated amyloidosis (hattr) is a rare, progressive, and fatal autosomal dominant... Ver
05.001.034 Tropomyosin Receptor Kinase Inhibitors For Locally Advanced Or Metastatic Solid Tumors Harboring An Ntrk Gene Fusion Apr 2024 The tropomyosin receptor kinase (trk)-receptor family is encoded by the 3 neurotrophic receptor tyrosine... Ver
05.001.035 Monoclonal Antibody Therapies For Migraine and Cluster Headache Jan 2026 Migraine is a headache disorder characterized by recurrent moderate to severe headaches with associated... Ver
05.001.036 Brexanolone For Postpartum Depression Sep 2025 Postpartum depression (ppd) is a serious and debilitating condition that is characterized by a major... Ver
05.001.037 Medical Cannabis For The Treatment Of Pain And Spasticity Sep 2023 Cannabis describes organic products (eg, cannabinoids, marijuana, hemp) that are derived from the cannabis... Ver