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Notification of Drug Policy Revisions Effective February 1, 2025 (Posted December 2, 2024

Medical Drug Policy NameRevised Criteria
Crovalimab-akkz (PiaSky™) Notification (PDF)Added requirement for trial and failure of two of the following: iptacopan (Fabhalta), pegcetacoplan (Empaveli), ravulizumab-cwvz (Ultomiris). Policy notification given 12/2/2024 for effective date 2/1/2025.