J0401, Injection, aripiprazole (abilify maintena), 1 mg
HCPCS/CPT
Prior Authorization
Prior Auth Required
Conditional coverage; review criteria to confirm PA need (medium confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
1 Active Policy
HEALTHNET_OR-HNOR-ARIPIPRAZOLE-LONG-ACTING-INJECTIONS-ABILIFY-MAINTENA-ABI-A7BEB3FC1A, Aripiprazole Long-Acting Injections (Abilify Maintena, Abilify Asimtufii, Aristada, Aristada Initio); CP.PHAR.290
OR
Related Codes
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