Countycare policy updates
Track new and updated Countycare policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Adakveo (crizanlizumab-tmca) Coverage Criteria for Sickle Cell Disease | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Enjaymo (sutimlimab-jome) Coverage Criteria | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Evkeeza (evinacumab-dgnb) Coverage Criteria | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Skin Substitutes for Wound Management | Countycare | Clinical | Wound Care | Modified | Jun 1, 2026 |
| Duchenne Muscular Dystrophy Drug Therapies | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| Ryoncil (remestemcel-L-rknd) Coverage Criteria | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| Tepezza (teprotumumab-trbw) Prior Authorization for Thyroid Eye Disease | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| Vyepti (eptinezumab-jjmr) Coverage for Chronic Migraine Prevention | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2026 |
| Natalizumab Products | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Oct 1, 2025 |
| Entyvio (vedolizumab) Coverage Criteria | Countycare | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 1, 2025 |
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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.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
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.