Viva Health Plan policy updates
Track new and updated Viva Health Plan policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Beovu (brolucizumab-dbll) intravitreal therapy | Vivahealthplan | Clinical | Ophthalmology/Optometry | Modified | — |
| Encelto™ (revakinagene taroretcel-lwey) for MacTel Type 2 | Vivahealthplan | Clinical | Ophthalmology/Optometry | Modified | — |
| Intravitreal Lytenava (bevacizumab-vikg) for neovascular age-related macular degeneration | Vivahealthplan | Clinical | Ophthalmology/Optometry | Modified | — |
| Syfovre (pegcetacoplan) Intravitreal Therapy | Vivahealthplan | Clinical | Ophthalmology/Optometry | Modified | — |
| Vabysmo (faricimab-svoa) intravitreal therapy | Vivahealthplan | Clinical | Ophthalmology/Optometry | Modified | — |
| Step Therapy Criteria | Vivahealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | — |
| Abraxane (paclitaxel albumin-bound) intravenous therapy | Vivahealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | — |
| Abraxane (paclitaxel albumin-bound) intravenous therapy | Vivahealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | — |
| Adzynma coverage for congenital thrombotic thrombocytopenic purpura | Vivahealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | — |
| Amtagvi (lifileucel) Intravenous Therapy | Vivahealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | — |
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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.