J2426, Injection, paliperidone palmitate extended release (invega sustenna), 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
2 Active Policies
ARKBLUE-PALIPERIDONE-PALMITATE-E-G-LONG-ACTING-INJECTABL-319D8B4C9E, Paliperidone Palmitate (e.g., Long-acting Injectables Invega Sustenna & Invega Trinza, Erzofri)
AR
HEALTHNET_OR-HNOR-PALIPERIDONE-LONG-ACTING-INJECTIONS-INVEGA-HAFYERA-INVEG-EBADCD73BE, Paliperidone Long-Acting Injections (Invega Hafyera, Invega Sustenna, Invega Trinza, Erzofri); CP.PHAR.291
OR
Related Codes
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