Welcome to the New Century Health - Medical Oncology Policies page. Members follow the Medical Policies for the company underwriting or administering their benefit plan. See Frequently Asked Questions: EmblemHealth Oncology Drug Management to learn about the Medical Oncology Program and who these policies apply to.
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You may sort by Date Issued or Title. You may also enter a keyword to search for a policy.
| Date (YYYY/MM/DD) | Title | Download (PDF) |
|---|---|---|
| 2021/07/30 | 5HT3 Receptor Antagonists | Download (PDF) |
| 2021/09/24 | Abraxane (nab paclitaxel) | Download (PDF) |
| 2021/03/26 | Adakveo (crizanlizumab) | Download (PDF) |
| 2021/02/26 | Adcetris (brentuximab vedotin) | Download (PDF) |
| 2021/09/24 | Alimta (pemetrexed) | Download (PDF) |
| 2021/05/28 | Aliqopa (copanlisib) | Download (PDF) |
| 2021/06/25 | Arranon (nelarabine) | Download (PDF) |
| 2021/10/29 | Arzerra (ofatumumab) | Download (PDF) |
| 2021/10/29 | Asparlas (calaspargase pegol-mknl) | Download (PDF) |
| 2021/10/29 | Avastin (bevacizumab) and Biosimilars | Download (PDF) |
| 2021/08/27 | Bavencio (avelumab) | Download (PDF) |
| 2022/08/08 | Bevacizumab Products | Download (PDF) |
| 2021/02/26 | Beleodaq (belinosat) | Download (PDF) |
| 2022/01/11 | Besponsa (inotuzumab ozogamicin) | Download (PDF) |
| 2021/06/25 | Besremi™ (ropeginterferon alfa-2b-nijft) | Download (PDF) |
| 2021/09/24 | Blenrep (belantamab mafodotin-blmf) | Download (PDF) |
| 2021/09/24 | Blincyto (blinatumomab) | Download (PDF) |
| 2021/01/29 | Bone Modifying Agents (Aredia Zometa Xgeva Prolia) | Download (PDF) |
| 2020/12/28 | Cablivi (caplacizumab-yhdp) | Download (PDF) |
| 2021/04/30 | Clolar (clofarabine) | Download (PDF) |
| 2021/04/30 | Cosela (trilaciclib) | Download (PDF) |
| 2021/07/30 | Cyramza (ramucirumab) | Download (PDF) |
| 2021/01/29 | Danyelza (naxitamab-gqgk) | Download (PDF) |
| 2021/09/24 | Darzalex and Darzalex Faspro | Download (PDF) |
| 2021/02/26 | Doxil or Lipodox (liposomal doxorubicin) | Download (PDF) |
| 2021/06/25 | Elzonris (tagraxofusp) | Download (PDF) |
| 2021/02/26 | Emend Cinvanti and Varubi | Download (PDF) |
| 2022/01/07 | Empaveli™ (pegcetacoplan) | Download (PDF) |
| 2021/04/30 | Empliciti (elotuzumab) | Download (PDF) |
| 2020/12/28 | Enhertu (fam-trastuzumab deruxtecan-nxki) | Download (PDF) |
| 2022/03/29 | Enjaymo™ (sutimlimab-jome) | Download (PDF) |
| 2021/04/30 | Erbitux (cetuximab) | Download (PDF) |
| 2021/08/27 | Erwinaze and Rylaze (asparaginase Erwinia chrysanthemi and recombinantrywn) | Download (PDF) |
| 2021/07/30 | Erythropoiesis Stimulating Agents (Aranesp, Epogen, Procrit, Retacrit) | Download (PDF) |
| 2021/02/26 | Faslodex (fulvestrant) | Download (PDF) |
| 2021/04/30 | Folotyn (pralatrexate) | Download (PDF) |
| 2021/10/29 | Fusilev (levoleucovorin) | Download (PDF) |
| 2022/24/06 | Fyarro™ (intravenous sirolimus) | Download (PDF) |
| 2020/12/28 | Gamifant (emapalumab-lzsg) | Download (PDF) |
| 2021/02/26 | Gazyva (obinutuzumab) | Download (PDF) |
| 2021/10/29 | Generic Oncology | Download (PDF) |
| 2021/10/29 | Halaven (eribulin) | Download (PDF) |
| 2021/04/30 | Imfinzi (durvalumab) | Download (PDF) |
| 2021/10/29 | Imlygic (Talimogene Laherparepvec) | Download (PDF) |
| 2021/08/27 | Intravenous Immune Globulin (Aceniv, Panzyga, Bivigam, Carimune, Cuvitru, Gammagard, Gammaplex, Gamunex, Hiqvia, Gammaked, Octagam, Privigen) | Download (PDF) |
| 2021/04/30 | Iressa (gefitinib) | Download (PDF) |
| 2021/08/27 | Istodax (romidepsin) | Download (PDF) |
| 2021/10/29 | Ixempra (ixabepilone) | Download (PDF) |
| 2021/09/24 | Jelmyto (mitomycin for pyelocalyceal instillation) | Download (PDF) |
| 2021/09/24 | Jemperli (dostarlimab-gxly) | Download (PDF) |
| 2021/01/29 | Jevtana (cabazitaxel) | Download (PDF) |
| 2021/04/30 | Kadcyla (ado-trastuzumab emtansine) | Download (PDF) |
| 2021/09/24 | Keytruda (pembrolizumab) | Download (PDF) |
| 2022/03/29 | Kimmtrak™ (tebentafusp-tebn) | Download (PDF) |
| 2021/04/30 | Kyprolis (carfilzomib) | Download (PDF) |
| 2021/09/24 | LHRH (Agonists and antagonist) | Download (PDF) |
| 2021/04/30 | Libtayo (cemiplimab-rwlc) | Download (PDF) |
| 2021/09/24 | Lumoxiti (moxetumomab pasudotox) | Download (PDF) |
| 2021/05/28 | Margenza (margetuximab-cmkb) | Download (PDF) |
| 2021/01/29 | Marqibo (vincristine liposome) | Download (PDF) |
| 2021/09/24 | Myeloid Growth Factors (Fulphila, Granix, Leukine, Neulasta, Neupogen, Nivestym, Nyvepria, Udenyca and Zarxio) | Download (PDF) |
| 2021/09/24 | Monjuvi (tafasitamab-cxix) | Download (PDF) |
| 2021/09/24 | Mozobil™ (plerixafor) | Download (PDF) |
| 2021/08/27 | Mylotarg (gemtuzumab ozogamicin) | Download (PDF) |
| 2021/08/27 | Nplate (romiplostim) | Download (PDF) |
| 2020/11/30 | Onivyde (irinotecan liposome) | Download (PDF) |
| 2021/10/29 | Oncospar (pegaspargase) | Download (PDF) |
| 2022/06/28 | Opdualag™ (nivolumab and relatlimab-rmbw) | Download (PDF) |
| 2021/09/24 | Opdivo (nivolumab) | Download (PDF) |
| 2021/09/27 | Padcev (enfortumab vedotin-ejfv) | Download (PDF) |
| 2021/08/27 | Pepaxto (melphalan flufenamide) | Download (PDF) |
| 2021/04/30 | Photofrin (porfimer) | Download (PDF) |
| 2022/08/09 | Pluvicto (lutetium Lu 177 vipivotide tetraxetan) | Download (PDF) |
| 2021/03/26 | Polivy (polatuzumab vedotin) | Download (PDF) |
| 2021/01/29 | Poteligeo (mogamulizumab-kpkc) | Download (PDF) |
| 2021/02/26 | Provenge (sipuleucel-T) | Download (PDF) |
| 2021/10/29 | Reblozyl (luspatercept-aamt) | Download (PDF) |
| 2021/02/26 | Rituximab Products (Riabni, Rituxan Hyclea, Ruxience, Truxima) | Download (PDF) |
| 2022/01/11 | Rybrevant™ (amivantamab-vmjw) | Download (PDF) |
| 2021/06/25 | Sarclisa (isatuximab-irfc) | Download (PDF) |
| 2021/07/30 | Soliris (eculizumab) | Download (PDF) |
| 2021/02/26 | Somatostatin Analog | Download (PDF) |
| 2020/12/28 | Sylvant (siltuximab) | Download (PDF) |
| 2021/05/28 | Synribo (omacetaxine) | Download (PDF) |
| 2021/09/24 | Tecentriq (atezolizumab) | Download (PDF) |
| 2020/05/29 | Tepadina (thiotepa) | Download (PDF) |
| 2022/01/11 | Torisel (temsirolimus) | Download (PDF) |
| 2021/05/28 | Tivdak™ (tisotumab vedotin-tftv) | Download (PDF) |
| 2021/04/30 | Trastuzumab Products and Phesgo (pertuzumab trastuzumab and hyaluronidase-zzxf) Herceptin, Herzuma, Kanjinti, Ogivri, Ontruzant, Trazimera | Download (PDF) |
| 2021/01/29 | Treanda_Bendeka_Belrapzo (bendamustine) | Download (PDF) |
| 2021/07/30 | Trisenox (arsenic trioxide) | Download (PDF) |
| 2021/07/30 | Trodelvy (sacituzumab govitecan-hziy) | Download (PDF) |
| 2021/07/30 | Ultomiris (ravulizumab) | Download (PDF) |
| 2020/12/28 | Unituxin (dinutuximab) | Download (PDF) |
| 2021/07/30 | Valstar (valrubicin) | Download (PDF) |
| 2021/02/26 | Vectibix (panitumumab) | Download (PDF) |
| 2020/09/25 | Velcade (bortezomib) | Download (PDF) |
| 2021/04/30 | Vyxeos (daunorubicin and cytarabine liposomal) | Download (PDF) |
| 2021/04/30 | Yervoy (ipilimumab) | Download (PDF) |
| 2021/10/29 | Yondelis (trabectedin) | Download (PDF) |
| 2021/05/28 | Zaltrap (ziv-aflibercept) | Download (PDF) |
| 2021/07/30 | Zepzelca (lurbinectedin) | Download (PDF) |
| 2021/06/25 | Zynlonta (loncastuzimab tesirine-lpyl) | Download (PDF) |
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