| Buckeye Health Plan Ohio Medicaid Clinical | Concert Laboratory Payment Policy | |
| Medical Mutual | Ebglyss (lebrikizumab-lbkz) | |
| Medical Mutual | Simponi® (golimumab - Subcutaneous Injection) | |
| Medical Mutual | Immune Globulins Subcutaneous (SCIG) | |
| Medical Mutual | Cabazitaxel: Jevtana® (Intravenous) (EOV) | |
| Medical Mutual | Kyprolis® (carfilzomib) (Intravenous) (EOV) | |
| Medical Mutual | Mylotarg™ (gemtuzumab ozogamicin) (Intravenous) (EOV) | |
| Medical Mutual | Abatacept (Orencia®) SC | |
| Medical Mutual | Orthodontics Medically Necessary | |
| Medical Mutual | Poteligeo® (mogamulizumab-kpkc) (Intravenous) (EOV) | |