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This policy refers to sunlenca injection and yeztugo injection for administration by a healthcare professional Apretude will be considered investigational or experimental for any other use and will not be covered. Sunlenca oral tablets and yeztugo oral tablets are obtained under the pharmacy benefit.

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Effective with date of service feb Must be prescribed at a dose within the manufacturer’s dosing guidelines (based on diagnosis, weight, etc) listed in the fda approved labeling The healthcare common procedure coding system (hcpcs) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like medicare and medicaid.