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HCPCS/CPT J1271, Injection, doxycycline hyclate, 1 mg | Prior Auth Required

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`J1271`, Injection, doxycycline hyclate, 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-DOXYCYCLINE-HYCLATE-ACTICLATE-DORYX-DOXYCYCLINE-ORACEA-C-847D47A903, Doxycycline Hyclate (Acticlate, Doryx), Doxycycline (Oracea); CP.PMN.79

OR

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