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Louisiana Healthcare Connections Policies and Procedures Updates

Date: 05/11/26

Louisiana Healthcare Connections is sharing with providers the below policies and procedures that were developed and/or revised; posted for public comment and approved by LDH in accordance with La. R.S. 46:460.54.  Non-material revisions do not require LDH approvals.

Please share this notice with other members of your practice and office staff as necessary.

These guidelines will be implemented 30 days from the date of this notice and will be posted on our Clinical & Payment Policies page.

Policy & Procedure #

Policy & Procedure Title

New, material revisions, non-material revisions

LA.PHAR.308

Elotuzumab (Empliciti)

Material

LA.PHAR.685

Tarlatamab-dlle (Imdelltra)

Material

LA.PHAR.282

Parathyroid Hormone (Natpara)

Material

LA.PHAR.600

Trofinetide (Daybue, Daybue Stix)

Material

LA.PHAR.481

Idecabtagene Vicleucel (Abecma)

Material

LA.PHAR.678

Afamitresgene autoleucel (Tecelra)

Material

LA.PHAR.189

Ibandronate Injection (Boniva)

Material

LA.PHAR.321

Panitumumab (Vectibix)

Material

LA.PHAR.339

Durvalumab (Imfinzi)

Material

LA.PHAR.687

Tislelizumab-jsgr (Tevimbra)

Material

LA.PHAR.317

Cetuximab (Erbitux)

Material

LA.PHAR.405

Inotersen (Tegsedi)

Material

LA.PHAR.158

Agalsidase Beta (Fabrazyme)

Material

LA.PHAR.93

Bevacizumab (Alymsys, Avastin, Avzivi, Jobevne, Mvasi, Vegzelma, Zirabev)

Material

LA.PHAR.634

Epcoritamab-bysp (Epkinly)

Material

LA.PHAR.165

Ferumoxytol (Feraheme)

Material

LA.PMN.53

Off-Label Use

Material

LA.PMN.255

No Coverage Criteria

Material

LA.PHAR.05

Hyaluronate Derivatives

Material

LA.PHAR.495

Mitomycin Instillation Solution (Jelmyto, Zusduri)

Material

LA.PHAR.720

Nipocalimab-aahu (Imaavy)

Material

LA.PHAR.184

Aflibercept (Eylea, Eylea HD) and Biosimilars)

Material

LA.PHAR.618

Mosunetuzumab-axgb (Lunsumio)

Material

LA.PHAR.181

Hemin (Panhematin)

Material

LA.PHAR.402

Emapalumab-lzsg (Gamifant)

Material

LA.PHAR.322

Pembrolizumab, Pembrolizumab-Berahyaluronidase Alfa-pmph (Keytruda, Keytruda Qlex)

Material

LA.PHAR.483

Lisocabtagene Maraleucel (Breyanzi)

Material

LA.PHAR.598

Lifileucel (Amtagvi)

Material

LA.PHAR.675

Obecabtagene autoleucel (Aucatzyl)

Material

LA.PHAR.362

Axicabtagene ciloleucel (Yescarta)

Material

LA.PHAR.444

Afamelanotide (Scenesse)

Material

LA.PHAR.445

Brolucizumab-dbll (Beovu)

Material

LA.PHAR.521

Avalglucosidase Alfa-ngpt (Nexviazyme)

Material

LA.PHAR.522

Margetuximab-cmkb (Margenza)

Material

LA.PHAR.523

Naxitamab-gqgk (Danyelza)

Material

LA.PHAR.570

Ropeginterferon Alfa-2b-njft (BESREMi)

Material

LA.PHAR.574

Sirolimus Protein-Bound Particles (Fyarro)

Material

LA.PHAR.52

Interferon Gamma-1b (Actimmune)

Material

LA.PHAR.581

Faricimab-svoa (Vabysmo)

Material

LA.PHAR.94

Alpha1-Proteinase Inhibitors (Aralast NP, Glassia, Prolastin-C, Zemaira)

Material

LA.PHAR.616

Zilucoplan (Zilbrysq)

Material

LA.PHAR.234

Ferric Carboxymaltose (Injectafer)

Material

LA.PHAR.410

Bortezomib (Velcade)

Material

LA.PHAR.711

Cosibelimab-Ipdl (Unloxcyt)

Material

LA.PHAR.713

Zenocutuzumab-zbco (Bizengri)

Material