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HCPCS/CPT J1943, Injection, aripiprazole lauroxil, (aristada initio), 1 mg | Prior Auth Required

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`J1943`, Injection, aripiprazole lauroxil, (aristada initio), 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-ARIPIPRAZOLE-LONG-ACTING-INJECTIONS-ABILIFY-MAINTENA-ABI-A7BEB3FC1A, Aripiprazole Long-Acting Injections (Abilify Maintena, Abilify Asimtufii, Aristada, Aristada Initio); CP.PHAR.290

OR

Related Codes

J0401(1 policies)J0402(1 policies)J1944(1 policies)

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