J0165, Injection, epinephrine, not otherwise specified, 0.1 mgHCPCS/CPT
Prior Auth Required
Conditional coverage; review criteria to confirm PA need (medium confidence)
BCBSLA-00908-27ACF0D4A5, 00908 Neffy (epinephrine nasal spray)
LA
BCBSLA-00553-B9EE7F5998, 00553 Auvi-Q (epinephrine auto-injector)- Retired Policy
LA
POINT32HEALTH-PMNG-15461, Epinephrine Auto-Injectors
MULTI
BCBSNE-X-76-9663E93474, EPINEPHRINE (PREAUTHORIZATION REQUIRED)
NE
Ask Verity about documentation requirements, denial risks, or coverage in your state.
HEALTHNET_OR-HNOR-EPINEPHRINE-EPIPEN-EPIPEN-JR-NEFFY-AUVI-Q-CP-PCH-55-A170C022F6, Epinephrine (EpiPen, EpiPen Jr, Neffy, Auvi-Q); CP.PCH. 55
OR
HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICATIO-Y50DBYF8HKQJXR-LESIW-419B3EE815, Epinephrine, Self-Injected
PA
OSCAR-NEFFY-EPINEPHRINE-NASAL-SPRAY-PG243-VER-3-50305F915E, Neffy (epinephrine nasal spray) (PG243, Ver.3)