Medical policy

Tysabri® (Natalizumab) - Commercial Medical Benefit Drug Policy

United Healthcare medical policy 2022D0026N · Oct 14, 2025

Key facts

Policy title Tysabri® (Natalizumab) - Commercial Medical Benefit Drug Policy
Insurer United Healthcare
Policy number 2022D0026N
Policy date Oct 14, 2025
Current policy Yes
ICD-10 codes G35
Insurer page uhcprovider.com

At a glance

  • 1–9 510(k)s referenced
  • None PMAs referenced
  • None De Novos referenced
  • None Clinical trials referenced
  • 1–9 Articles referenced
  • None UDI devices referenced
  • None NDC products referenced

Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.

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Source: Health insurer clinical and medical policies (insurer as listed); cross-links by Orca1

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