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CommercialAdministrativeLow impact

08.01.14e, Radium Ra 223 dichloride (Xofigo®) Injection (Independence Administrators)

Independence Blue Cross·Oncology, Urology·Pharmacy
Effective date
Jun 11, 2025
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Administrators has reissued their policy for Radium Ra 223 dichloride (Xofigo®) injection coverage. This is a reissue of an existing pharmacy policy with no indication of substantive changes to coverage or billing requirements.

Action Required

Action needed
By June 11, 2025: Billing team should review the updated policy at the provided URL to confirm no changes to prior authorization requirements or billing procedures for Radium Ra 223 dichloride (Xofigo®) injection claims for Independence Administrators members.

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