J2796, Injection, romiplostim, 10 micrograms
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- HS-ARS coverage criterion for Romiplostim
- ITP indication requiring insufficient response to standard therapies
- HS-ARS coverage criterion for Romiplostim
- ITP indication requiring insufficient response to standard therapies
- HS-ARS coverage criterion for Romiplostim
- ITP indication requiring insufficient response to standard therapies
4 Active Policies
BCBSIL-RX501.157, Romiplostim
BCBSMT-RX501.157, Romiplostim
BCBSNM-RX501.157, Romiplostim
BCBSOK-RX501.157, Romiplostim
Related Codes
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