J3090, Injection, tedizolid phosphate, 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
POINT32HEALTH-PMNG-18141, Sivextro (tedizolid)
MULTI
HEALTHNET_OR-HNOR-TEDIZOLID-SIVEXTRO-CP-PMN-62-35C378F9D4, Tedizolid (Sivextro); CP.PMN.62
OR
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