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
P1.002.005 Ocrevus™ (ocrelizumab) Apr 2026 Ocrelizumab is a humanized monoclonal antibody that is directed against cd20-expressing b-cells. cd20 is a... Ver
P1.002.006 Simponi ARIA® (golimumab) Dec 2025 Golimumab is in a class of drugs called biologics. golimumab is a treatment for adults with moderate to... Ver
P1.002.007 Stelara® (ustekinumab) Dec 2025 Stelara is a human igg1κ monoclonal antibody that binds with high affinity and specificity to the p40... Ver
P1.002.008 Tysabri® (natalizumab) Dec 2025 Natalizumab (tysabri) is a humanized monoclonal antibody that binds to alpha-4 integrin expressed on the... Ver
P1.002.009 Xolair® (omalizumab) Dec 2025 Omalizumab is an anti-ige monoclonal antibody produced by recombinant dna technology using chinese hamster... Ver
P1.002.010 Ruconest (C1 Esterase Inhibitor [recombinant]) Sep 2025 Ruconest is a recombinant c1 esterase inhibitor indicated for the treatment of acute attacks of hereditary... Ver
P1.002.011 Ultomiris® (ravulizumab-cwvz) Jun 2026 Ravulizumab-cwvz (ultomiris™) is a humanized monoclonal antibody with a high affinity for c5, a protein... Ver
P1.002.012 Soliris (eculizumab) Jan 2026 Soliris is a complement inhibitor indicated for the treatment of patients with paroxysmal nocturnal... Ver
P1.002.013 Adstiladrin® (nadofaragene firadenovec-vncg) Feb 2026 Adstiladrin is a non-replicating adenoviral vector-based gene therapy indicated for the treatment of adult... Ver
P1.002.014 AMTAGVI (Lifileucel) Sep 2025 Amtagvi (lifileucel) is an autologous til (tumor-infiltrating lymphocyte) therapy approved by the fda in... Ver
P1.002.015 AUCATZYL (Obecabtagene autoleucel) May 2026 Aucatzyl is an autologous anti-cd19 car-t therapy indicated for adults with relapsed or refractory b-cell... Ver
P1.002.016 ENCELTO (Revakinagene taroretcel-lwey) May 2026 Encelto (revakinagene taroretcel-lwey) is a cell-based implant designed to continuously deliver recombinant... Ver
P1.002.017 KEBILIDI (Eladocagene exuparvovec-tneq) Sep 2025 Kebilidi is an adeno-associated virus (aav) vector-based gene therapy 12 indicated for the treatment of adult... Ver
P1.002.018 LANTIDRA (Donislecel) Sep 2025 Lantidra (donislecel-jujn) is an allogeneic pancreatic islet cell therapy approved by the fda in june 2023.... Ver
P1.002.019 LAVIV  (Azficel-T) Sep 2025 Azficel-t is an autologous cellular product composed of fibroblasts indicated for improvement of the... Ver
P1.002.021 OMISIRGE (Omidubicel-onlv) Sep 2025 ... Ver
P1.002.022 RETHYMIC (Allogeneic processed thymus tissue – agdc) Sep 2025 Allogeneic processed thymus tissue–agdc (rethymic) was approved by the us food and drug administration... Ver
P1.002.023 RYONCIL (Remestemcel-L-rknd) Sep 2025 Remestemcel-l-rknd (ryoncil) is fda-approved for the treatment of steroid-refractory acute graftversus-host... Ver
P1.002.024 SKYSONA (Elivaldogene autotemcel) Sep 2025 Cerebral adrenoleukodystrophy (cald) is an x-linked genetic neurodegenerative disease that most severely... Ver
P1.002.026 TECELRA  (Afamitresgene autoleucel) Sep 2025 Tecelra (afamitresgene autoleucel) is a melanoma-associated antigen a4 (magea4)-directed genetically modified... Ver