Payer PolicyActive
Ribavirin (Virazole) Inhalation
AETNA-CPB-0155
Aetna
Effective: March 31, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna covers inhaled ribavirin (Virazole) as medically necessary for RSV in immunosuppressed and high‑risk children/adults (FDA‑approved for hospitalized infants/young children with severe RSV) and for certain viral hemorrhagic fevers (Crimean‑Congo, Ebola, Lassa, Marburg), Rift Valley fever, and Hantaan virus, with coverage subject to applicable selection criteria and ICD‑10 coding (e.g., A92.0–A92.9 where relevant). All other indications are considered experimental/investigational and not covered (examples: AML, COVID‑19, glioblastoma, foot‑and‑mouth disease).
Coverage Criteria Preview
Key requirements from the full policy
"Clinical evidence supporting diagnosis (e."
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