Fast Facts Newsletter - April (Special Edition) 2025
Effective date
Not stated in the notice
Identified
Nov 6, 2026
Summary
HealthPartners' April 2025 Special Edition Fast Facts newsletter reports that Ranibizumab (Cimerli) is being withdrawn from the market by the manufacturer on 3/31/25, and that for current patients on Cimerli, providers may switch to Lucentis or Byooviz without a new prior authorization. It also notes that Cohere Health's coverage criteria policies for Commercial and Medicaid plans (a long list of cardiac, spine, and joint procedures) were to be revised effective 06/01/2025, with the posted policy referenced online. This is a historical newsletter first detected in November 2026, so the 3/31/25 and 06/01/2025 dates have already passed and current applicability must be verified rather than acted on as pending deadlines.
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01Already effective 3/31/25 (historical): Confirm charge entry and the drug list no longer use Cimerli for ophthalmology VEGF billing, and where a current patient was switched to Lucentis or Byooviz, verify the claim reflects the substituted product.
02Historical 06/01/2025 (elapsed): Billing team and providers should check the current Cohere Health criteria for Commercial and Medicaid HealthPartners plans on the posted HealthPartners payer page for the listed cardiology, spine and interventional services, confirm which versions are still in force, and update prior authorization tracking and documentation checklists accordingly rather than treating these dates as upcoming.
03Front desk staff should be told to verify current requirements before scheduling these services.
Original notice
Fast Facts Newsletter - April (Special Edition) 2025
healthpartners.com · Always check the source before changing claims.
Summaries are AI-assisted. Always confirm against the original payer notice.
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