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08.01.88b, Allogeneic Processed Thymus Tissue-agdc (Rethymic®)

Independence Blue Cross·Allergy & Immunology, Oncology, Pediatrics·Pharmacy
Effective date
Nov 17, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Insurance policy 08.01.88b introduces new medical necessity criteria for Allogeneic Processed Thymus Tissue-agdc (Rethymic®), a specialized pharmacy product. This policy change establishes coverage requirements and criteria for this thymus tissue treatment.

Action Required

Action needed
By November 17, 2025: Billing team should review the full policy details at the provided URL to understand specific medical necessity criteria for Rethymic® (Allogeneic Processed Thymus Tissue-agdc). Update prior authorization processes if required and ensure providers are aware of new coverage criteria. This affects specialized immunology treatments.