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CommercialPrior AuthMedium impact

08.01.94d, Nivolumab and Relatlimab-rmbw (Opdualag™) for intravenous use

Independence Blue Cross·Oncology, Hematology·Pharmacy
Effective date
Jun 16, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

The medical necessity criteria for Nivolumab and Relatlimab-rmbw (Opdualag™) intravenous therapy have been updated for commercial insurance plans. This affects prior authorization requirements and coverage determination for this oncology combination immunotherapy drug.

Action Required

Action needed
By June 16, 2025: Review updated medical necessity criteria for Opdualag™ (Nivolumab and Relatlimab-rmbw) prescriptions. Update prior authorization documentation requirements in billing system and ensure providers are aware of new criteria for commercial plan approvals. Verify current criteria at the IBX policy portal before submitting authorization requests.