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​​​Changes to medical policy on Eculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris®)

September 19, 2022

​Effective October 17, 2022, AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey will update their medical policy on Eculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris®) for Commercial members.

This policy will be updated to communicate the medical necessity criteria, including step therapy and dosing and frequency requirements, for the newly FDA-approved indication of generalized myasthenia gravis (gMG) for ravulizumab-cwvz (Ultomiris®).

For more information, view the policy notification, which was published on September 19, 2022.


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