Effective January 1, 2025, all five infliximab IV products below will be covered at parity by AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth):
- Remicade® (infliximab)
- Renflexis® (infliximab-abda)
- Inflectra® (infliximab-dyyb)
- Avsola® (infliximab-axxq)
- Ixifi™ (infliximab-qbtx)
Please note that the infliximab IV products will still be listed on the precertification list.
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These changes will be reflected in updated Commercial and Medicare Advantage medical policies in January 2025:
- Commercial:
- #08.00.34 Intravenous Infliximab and Related Biosimilars
- Medicare Advantage:
- #MA08.019 Intravenous Infliximab and Related Biosimilars
To view any pending policy notifications (which signify upcoming changes) or active medical policies, you can visit the AmeriHealth Medical and Claim Payment Policy Portal.
Under Active Notifications or Policy Bulletins, select Commercial or New Jersey Medicare Advantage, based on which version of the policy you want to view. Then, you can search by category, or type the policy name or number in the Search box up top.
For more information on accessing medical policies, refer to our article on Staying updated on Medical Policies.