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HCPCS/CPT J2250, Injection, midazolam hydrochloride, per 1 mg | Prior Auth Required

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`J2250`, Injection, midazolam hydrochloride, per 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-MIDAZOLAM-NAYZILAM-CP-PMN-211-7C75008519, Midazolam (Nayzilam); CP.PMN.211

OR

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