Specialty medical injectable medication program, requirement and policy updates August 2026
Review the following tables to determine changes to our specialty medical injectable medication programs and drug policy updates for August 2026.
Review the following tables for changes to our specialty medical injectable medication programs and drug policy updates.
Review at Launch
The following specialty medical injectable medications have been added to Review at Launch for UnitedHealthcare commercial business:
| Medication Name | HCPCS Code(s) |
| Ranluspec® (ranibizumab-hkdz) Biosimilar to Lucentis® |
J3490/J3590/C9399 |
| Lumvoa™ (veligrotug-vvze) |
J3490/J3590/C9399 |
Updates to drug program requirements and drug policies
Effective Sept. 1, 2026, the following drug program requirements and drug policy updates will be made for UnitedHealthcare commercial business:
| Medication Name | HCPC(s) | Summary of Changes |
| Armlupeg™ (pegfilgrastim-unne) Biosimilar to Neulasta® | Q5169 |
|
| Aukelso™ (denosumab-kyqq) Biosimilar to Xgeva® | Q5161 |
|
| Bilprevda® (denosumab-nxxp) Biosimilar to Xgeva | Q5162 |
|
| Khapzory® (levoleucovorin) | J0642 |
|
| Levoleucovorin | J0641 |
|
| Lutrate® Depot (leuprolide acetate) | J1954 |
|
| Phesgo® (pertuzumab, trastuzumab, and hyaluronidase-zzxf) | J9316 |
|
| Vykoura™ (leucovorin) | J3490/J3590/C9399 |
|
| Xtrenbo™ (denosumab-qbde) Biosimilar to Xgeva | Q5167 |
|
| Xbryk™ (denosumab-dssb) Biosimilar to Xgeva | J3490/J3590/C9399 |
|
UnitedHealthcare will honor all approved prior authorizations on file until the end date on the authorization or the date the member’s eligibility changes. Upon prior authorization renewal, the updated policy will apply.
Note: Certain specialty medical injectable programs and updates may not be implemented for some providers or commercial members where prohibited by applicable state insurance mandates or regulations. Providers are encouraged to confirm whether prior authorization or other program requirements apply.
For questions, please contact your broker or UnitedHealthcare representative.