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CommercialCoverageLow impact

Policy Criteria Change

Arkansas Blue Cross Blue Shield·AR · Infectious Disease, Internal Medicine, Family Medicine·Medical Policy
Effective date
May 6, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Arkansas Blue Cross is archiving the Fidanacogene elaparvovec-dzkt (Beqvez) policy due to Pfizer discontinuing the drug, and adding three new HCPCS codes (J0750, J0751, J0752) to the self-administered medication list for PrEP antiretroviral therapy. PrEP medications will be covered at no cost-share through pharmacy benefits.

Action Required

Action needed
By May 6, 2026: Billing team must update system to recognize new HCPCS codes J0750, J0751, and J0752 as self-administered medications covered through pharmacy benefit with no cost-share. Remove Fidanacogene elaparvovec-dzkt (Beqvez) from formulary lists as the drug has been discontinued.

Affected Billing Codes

J0750
J0751
J0752