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Feb 1, 2025

Medical Drug Review

The following drugs will require authorization in 2025:

Drug NameGenericCodeMedicare Effective DateCommercial Effective Date
Alygloimmune globulin (alygo)J15521/1/20251/1/2025
Axtlepemetrexed (avyxa)J92921/1/20251/1/2025
BizengriZenocutuzumab-zbcoJ3590No PA Required2/1/2025
Bkemveculizumab-aeeb (bkemv)Q51391/1/20251/1/2025
DocivyxdocetaxelJ91722/1/20252/1/2025
Fulphilabiosimilar pegfilgrastimQ51081/1/20251/1/2025
Hercessitrastuzumab-strf (hercessi)Q51461/1/20251/1/2025
Nypozifilgrastim-txid (nypozi), biosimilarC91731/1/20251/1/2025
Ocrevus Zunovoocrelizumab and hyaluronidaseJ3590No PA Required1/1/2025
Pemrydi RTUPemetrexed Disodium IV SolnJ93242/1/20252/1/2025
Pyzchivaustekinumab-ttwe (pyzchiva)Q99971/1/20251/1/2025
RomiplostimromiplostimJ28021/1/20251/1/2025
Tecelraafamistresgene autoleucelJ3590No PA Required1/1/2025
Tecentriq Hybrezaatezolizumab and hyaluronidaseJ3590No PA Required1/1/2025
ZiiheraZanidatamab-HRIIJ3590No PA Required1/1/2025