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08.01.57a, Lutathera® (Lutetium Lu 177 Dotatate) (Independence Administrators)

Independence Blue Cross·Oncology, Nuclear Medicine·Pharmacy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

The Independence Administrators policy for Lutathera® (Lutetium Lu 177 Dotatate) has been reissued with an effective date of April 1, 2026. This is a pharmacy policy update for this specialized radiopharmaceutical used in neuroendocrine tumor treatment.

Action Required

Action needed
By March 31, 2026: Review updated Lutathera® policy requirements with oncology billing team. Verify current prior authorization and documentation requirements remain unchanged for Independence Administrators members receiving this radiopharmaceutical therapy.