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Medicare AdvantageCoverageMedium impact

MA08.173, Tislelizumab-jsgr (Tevimbra®)

Independence Blue Cross·Oncology, Hematology·Pharmacy
Effective date
Aug 25, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

A new Medicare Advantage policy MA08.173 has been established for Tislelizumab-jsgr (Tevimbra®), a pharmacy/drug coverage policy. This appears to be setting coverage guidelines for this specific medication under Medicare Advantage plans.

Action Required

Action needed
Before August 25, 2025: Billing team should review the full policy details at the provided URL to understand coverage criteria, prior authorization requirements, and billing guidelines for Tislelizumab-jsgr (Tevimbra®). Update pharmacy benefit management protocols and inform providers who may prescribe this medication.