Draft Provider-Administered Oncology Policies - Blue Advantage

To ensure that the development of Blue Advantage oncology policies occurs through an open, collaborative process, we welcome physicians and other providers to submit comments about pharmacy policies that are in the draft stage. We accept comments for 45 days from the posting date listed on the draft policy. Our current draft policies are listed below.

Note: Coverage is subject to member's specific benefits. Group specific policies will supersede these policies when applicable. Please refer to member's benefit plan.

How to Submit Comments

Participating providers can submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to draft policies using one of the following methods:

Comment on Draft Medical Policy

Send comments by mail or fax to:

Blue Cross and BlueShield of Alabama
Attn: Health Management - Medical Policy
P.O. Box 995
Birmingham, AL 35298-0001

Fax: 205-220-0878

Policy # Policy Title Print View
VP-0001 Abraxane® (paclitaxel protein-bound particles) (Intravenous)
VP-0007 Alimta® (pemetrexed) (Intravenous)
VP-0038 Erbitux® (cetuximab) (Intravenous)
VP-0136 Vectibix® (panitumumab) (Intravenous)
VP-0319 Kymriah (tisagenlecleucel) (Intravenous)
VP-0333 Yescarta™ (axicabtagene ciloleucel) (Intravenous)
VP-0415 Truxima® (rituximab-abbs) (Intravenous)
VP-0422 Bendamustine (bendamustine ready-to-dilute) (Intravenous) (Belrapzo™)
VP-0431 Herzuma® (trastuzumab-pkrb) (Intravenous)
VP-0432 Ontruzant® (trastuzumab-dttb) (Intravenous)
VP-0449 Herceptin Hylecta™ (trastuzumab and hyaluronidase-oysk) (Subcutaneous)
VP-0451 Trazimera™ (trastuzumab-qyyp) (Intravenous)
VP-0461 Mvasi™ (bevacizumab-awwb) (Intravenous)
VP-0462 Ogivri™ (trastuzumab-dkst) (Intravenous)