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Last Published 04.01.2026 Effective Date: 04.01.2026 This policy addresses the use of somatostatin analogs, including Sandostatin (octreotide acetate), Sandostatin LAR (octreotide acetate LAR), Signifor (pasireotide diaspartate), Signifor LAR (pasireotide), and Somatuline Depot (lanreotide), and Lanreotide Injection