J2021, Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 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-LINEZOLID-ZYVOX-CP-PMN-27-B8AEED1A3F, Linezolid (Zyvox); CP.PMN.27
OR
Related Codes
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