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HCPCS/CPT J9340, Injection, thiotepa, 15 mg | Prior Auth Required

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`J9340`, Injection, thiotepa, 15 mg

HCPCS/CPT

Prior Authorization

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

3 Active Policies

EVICORE-HPLAN-CIGNA_MEDICARE-F57DF6FC9C3C, Q1 - 2025 1199 SEIU Benefit Funds MedOnc Master Drug List

EVICORE-HPLAN-CIGNA_MEDICARE-65E4ECCF1ADE, Q2 - 2025 1199 SEIU Benefit Funds MedOnc Master Drug List

EVICORE-HPLAN-CIGNA_MEDICARE-C882D62DFEB4, Q3 - 2025 1199 SEIU Benefit Funds MedOnc Master Drug List

Related Codes

J0640(3 policies)J0641(3 policies)J0208(3 policies)J0209(3 policies)J0584(3 policies)

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C9399(3 policies)

J0185(3 policies)

J0642(3 policies)