BlueCross BlueShield of Tennessee
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Upcoming Medical Policies BlueCross BlueShield of Tennessee |
Each medical policy listed below will become effective on the date indicated, and will be included in the Medical Policy Manual for BlueCross BlueShield of Tennessee on that effective date.
Medical policies are developed using an evidence-based evaluation process.The medical evidence used in this process comes from several sources, including independent medical technology review organizations, the peer reviewed medical literature, and opinions from appropriate network specialists. All Medical Policies are reviewed by a panel of internal and external physicians before being adopted by the company.
Topics due to be included in the Medical Policy Manual on 03/03/2026
Topics due to be included in the Medical Policy Manual on 04/02/2026
Topics due to be included in the Medical Policy Manual on 03/03/2026
Beremagene Geperpavec-svdt (Vyjuvek™)
Remote Electrical Neuromodulation (REN)
Topics due to be included in the Medical Policy Manual on 04/02/2026
Balloon Dilation of the Eustachian Tube
Betibeglogene autotemcel (Zynteglo®) (Intravenous)
Brexucbtagene Autoleucel (Tecartus®)
Cabazitaxel (Jevtana®); Cabazitaxel
Efbemalenograstim alfa-vuxw (Ryzneuta®)
Eflapegrastim-xnst (Rolvedon™)
Exagamglogene Autotemcel (Casgevy™)
Idecabtagene Vicleucel (Abecma®)
Inotuzumab Ozogamicin (Besponsa™)
Intravenous Immune Globulin (IVIG)
Levoleucovorin (Khapzory®), Levoleucovorin
Lovotibeglogene Autotemcel (Lyfgenia®)
Mosunetuzumab-axgb (Lunsumio™)
Obecabtagene Autoleucel (Aucatzyl®)
Pemetrexed (Alimta®; Pemfexy™, Pemetrexed™, Pemrydi RTU, Axtle™)
SCIG (Immune Globulin SQ): Hizentra®, HyQvia®, Cuvitru®, Cutaquig®, Xembify®
Tisotumab Vedotin-tftv (Tivdak™)
Last Review Date: 1/30/2026
Please reference the policy name in your comments.
To submit comments about the upcoming Medical policies:
Click the “Medical Policy Comments” above or click here: Comments or Feedback.Please reference the policy name in your comments.
To submit comments about the upcoming Pharmacy policies:
Click the “Pharmacy Policy Comments” above or click here: Comments or Feedback.Comments can also be mailed to:
BlueCross BlueShield of Tennessee
Medical Policy
1 Cameron Hill Circle
Chattanooga, TN 37402