| General Surgery |
mp-002 |
Gender Affirming Surgery |
March 27, 2026 |
February 27, 2026 |
February 27, 2027 |
| Genetics |
mp-025 |
Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases |
March 27, 2026 |
February 27, 2026 |
February 27, 2027 |
| Behavioral Health |
mp-054 |
Ketamine-Assisted Psychotherapy (KAP) |
March 27, 2026 |
February 27, 2026 |
February 27, 2027 |
| Neurology/Neurosurgery |
mp-061 |
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation |
March 27, 2026 |
February 27, 2026 |
February 27, 2027 |
| Laboratory/Pathology |
mp-069 |
Serologic Testing for Liver Fibrosis |
March 27, 2026 |
February 27, 2026 |
February 27, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-108 |
CGMs |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-172 |
Antiretovirals |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-173 |
Asthma & COPD |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-175 |
Enbrel |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-176 |
GLP-1 Angonists |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-177 |
Humira and Biosimilars |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-178 |
Insulins |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-179 |
Monoclonal Antibodies for Atopic Dermatitis |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-180 |
Atopic Dermatitis (Non-Steroidal) |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-181 |
Non-Preferred Immunomodulators |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-183 |
Opzelura |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-185 |
Pyzchiva and Biosimilars |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-186 |
Rinvoq, Rinvoq LQ |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-187 |
Rukobia |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-189 |
Taltz |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-190 |
Tyenne and Biosimilars |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |
| Healthy U, Health Choice Utah, Healthy U CHIP |
pharm-hyb-192 |
Xeljanz, Xeljanz XR, Xeljanz solution |
April 01, 2026 |
January 30, 2026 |
January 30, 2027 |