J0614, Injection, treosulfan, 50 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
ARKBLUE-TREOSULFAN-E-G-GRAFAPEX-1E181C730E, Treosulfan (e.g., Grafapex)
AR
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