J3360, Injection, diazepam, up to 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
1 Active Policy
HEALTHNET_OR-HNOR-DIAZEPAM-LIBERVANT-VALTOCO-CP-PMN-216-F9F8DC6EA1, Diazepam (Libervant, Valtoco); CP.PMN.216
OR
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