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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

April 2014

Medical Policy for Allergy Immunotherapy 


Effective July 1, 2014, Harvard Pilgrim is establishing a new medical policy for allergy immunotherapy. Under this policy, Harvard Pilgrim will not cover sublingual immunotherapy but will cover subcutaneous immunotherapy for the following conditions:

  • Allergic rhinitis
  • Allergic asthma
  • Stinging insect allergy
  • Allergic conjunctivitis
  • Atopic dermatitis

Immunotherapy involves gradually introducing patients to small doses of the allergens to which they are sensitive, with the dose increasing gradually over time, to build tolerance to the allergen and improve symptoms. With sublingual immunotherapy, the allergen is given as drops under the tongue; subcutaneous immunotherapy is delivered via injections.

For more information, including a list of covered ICD-9 and CPT codes, please refer to the Allergy Immunotherapy Medical Policy.

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Medical Policy for Allergy Immunotherapy

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P&T Committee Updates

Specialty Pharmacy Updates

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OFFICE ASSISTANT

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CMS 1500 (08/05) Form Rejected After June 15

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator