The following drugs will require authorization in 2025:
Drug Name | Generic | Code | Medicare Effective Date | Commercial Effective Date |
---|---|---|---|---|
Alyglo | immune globulin (alygo) | J1552 | 01/1/2025 | 01/1/2025 |
Axtle | pemetrexed (avyxa) | J9292 | 01/1/2025 | 01/1/2025 |
Bizengri | Zenocutuzumab-zbco | J3590 | No PA Required | 02/1/2025 |
Bkemv | eculizumab-aeeb (bkemv) | Q5139 | 01/1/2025 | 01/1/2025 |
Docivyx | docetaxel | J9172 | 02/1/2025 | 02/1/2025 |
Fulphila | biosimilar pegfilgrastim | Q5108 | 01/1/2025 | 01/1/2025 |
Hercessi | trastuzumab-strf (hercessi) | Q5146 | 01/1/2025 | 01/1/2025 |
Nypozi | filgrastim-txid (nypozi), biosimilar | C9173 | 01/1/2025 | 01/1/2025 |
Ocrevus Zunovo | ocrelizumab and hyaluronidase | J3590 | No PA Required | 01/1/2025 |
Pemrydi RTU | Pemetrexed Disodium IV Soln | J9324 | 02/1/2025 | 02/1/2025 |
Pyzchiva | ustekinumab-ttwe (pyzchiva) | Q9997 | 01/1/2025 | 01/1/2025 |
Romiplostim | romiplostim | J2802 | 01/1/2025 | 01/1/2025 |
Tecelra | afamistresgene autoleucel | J3590 | No PA Required | 01/1/2025 |
Tecentriq Hybreza | atezolizumab and hyaluronidase | J3590 | No PA Required | 01/1/2025 |
Ziihera | Zanidatamab-HRII | J3590 | No PA Required | 01/1/2025 |