Independent Health policy updates
Track new and updated Independent Health policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Medicare Part D Prior Authorization Criteria (selected drugs) | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step therapy criteria for Medicare Part B drugs | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Medicare Advantage Part D Formulary (Drug List) — Independent Health Employer Group 2026 | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Prior Authorization and Coverage Criteria for Part D Formulary Specialty Drugs | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step therapy requirements for select Part D drugs | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step therapy criteria for Child Health Plus formulary medications | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step therapy criteria for formulary medications | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step Therapy Criteria — Medicare Advantage Part D Formularies | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Step Therapy Criteria — Medicare Advantage Standard Part D Formulary | Independent Health | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Child Health Plus Formulary — Quantity Limits | Independent Health | Reimbursement | — | Modified | Jun 1, 2026 |
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.