J0699, Injection, cefiderocol, 10 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
3 Active Policies
BCBSM-2141772-D376692A92, J0693 FETROJA (CEFIDEROCOL) - (RETIRED AS OF 02/02/2023)
MI
BCBSMS-L-5-01-577-25AF980CB0, Fetroja (cefiderocol sulfate tosylate)
MS
BCBSMS-S-5-01-577-E3BDF1C70B, State and School Employees' Health Insurance Plan - Fetroja (cefiderocol sulfate tosylate)
MS
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