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HCPCS/CPT J1308, Injection, famotidine, 0.25 mg | Prior Auth Required

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`J1308`, Injection, famotidine, 0.25 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-IBUPROFEN-FAMOTIDINE-DUEXIS-CP-PMN-120-419FC5F6D9, Ibuprofen-famotidine (Duexis); CP.PMN.120

OR

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