Novologix | Clover Health

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Novologix Part B PA Policies

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Hemlibra 4798-A MedB P2021
- Hemlibra 4032-A MedB Jurisdiction H (AR CO LA MS NM OK TX) and L (DC DE MD NJ PA) P2022a
Herceptin and Trastuzumab Biosimilars 2474-A MedB P2022
- Herceptin Hylecta 4615-A MedB P2022
Humate-P 4869-A MedB P2021
- Humate-P 4033-A MedB Jurisdiction H (AR CO LA MS NM OK TX) and L (DC DE MD NJ PA) P2022b
Hyaluronan Acid Therapies 3999-A MedB Jurisdiction H (AR CO LA MS NM OK TX) and L (DC DE MD NJ PA) P2022a
Hyaluronans MedB Jurisdiction K (CT, MA, ME, NH, NY, RI, VT) P2021
Hyaluronates 2478-A MedB P2022

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Wilate 4870-A MedB P2021
- Wilate 4038-A MedB Jurisdiction H (AR CO LA MS NM OK TX) and L (DC DE MD NJ PA) P2022a

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