careoregon policy updates
Track new and updated careoregon policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Dupixent (dupilumab) prior authorization | Careoregon | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 1, 2026 |
| Pharmacy & Specialty Drugs — Coverage Criteria (Abilify Mycite and listed specialty drug prior authorization criteria) | Careoregon | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 26, 2026 |
| Prior authorization guideline — Liraglutide (generic) | Careoregon | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 22, 2026 |
| Diabetic GLP-1 Agonists (Weekly) — Prior Authorization Guideline | Careoregon | Clinical | Endocrinology | Modified | Jul 21, 2026 |
| Adalimumab biosimilars prior authorization | Careoregon | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 21, 2026 |
| EPSDT and YSHCN review | Careoregon | Administrative | — | Modified | Jul 1, 2026 |
| Nasal Corticosteroids prior authorization | Careoregon | Clinical | Allergy/Clinical Immunology | Modified | Jul 1, 2026 |
| Allergy immunotherapy (sublingual allergen extracts) coverage criteria | Careoregon | Clinical | Allergy/Clinical Immunology | Modified | Jul 1, 2026 |
| Xolair (omalizumab) prior authorization | Careoregon | Clinical | Allergy/Clinical Immunology | Modified | Jul 1, 2026 |
| Phentermine‑Topiramate prior authorization | Careoregon | Clinical | Bariatric & Obesity Management | Modified | Jul 1, 2026 |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.