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HCPCS/CPT J2359, Injection, olanzapine, 0.5 mg | Prior Auth Required

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`J2359`, Injection, olanzapine, 0.5 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

3 Active Policies

HEALTHNET_OR-HNOR-OLANZAPINE-LONG-ACTING-INJECTION-ZYPREXA-RELPREVV-CP-PHA-60B73D9B60, Olanzapine Long-Acting Injection (Zyprexa Relprevv); CP.PHAR.292

OR

HEALTHNET_OR-HNOR-OLANZAPINE-SAMIDORPHAM-LYBALYI-CP-PMN-265-1D3666F88F, Olanzapine-samidorpham (Lybalyi); CP.PMN.265

OR

OSCAR-LYBALVI-OLANZAPINE-SAMIDORPHAN-PG283-VER-1-3851126536, Lybalvi (olanzapine/samidorphan) (PG283, Ver. 1)

Related Codes

J2358(1 policies)

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