Article
Medical Policy Determinations for Pharmacogenetic Tests Among US Health Plans
7 Feb 2025
Abstract excerpt
OBJECTIVES: To evaluate medical policy determinations for pharmacogenetic (PGx) testing for 65 clinically relevant drug-gene pairs and evidence cited to support determinations across major US health plans and laboratory benefit managers (LBMs). STUDY DESIGN: Landscape analysis of available PGx medical policies to determine coverage status of certain drug-gene pairs. METHODS: PGx medical policies as of February 1,...
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