J1836, Injection, metronidazole, 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
2 Active Policies
BCBSMS-L-5-01-510-DB8CD71C59, Noritate 1% (metronidazole cream)
MS
HEALTHNET_OR-HNOR-METRONIDAZOLE-VAGINAL-GEL-NUVESSA-CP-CPA-132-456FE24BAC, Metronidazole Vaginal Gel (Nuvessa); CP.CPA.132
OR
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