Medicaid

In a recent notification, we shared that effective May 1, 2021, the following codes would be included in our prior authorization review process. Please be advised that these codes will not be included in our prior authorization process at this time.


Clinical Criteria

HCPCS or CPT® code(s)

Drug

ING-CC-0182

J1756

Venofer

ING-CC-0182

J2916

Ferrlecit

ING-CC-0182

J1750

Infed

 

ING-CC-0182

J1439

Injectafer

 

ING-CC-0182

Q0138

Feraheme

 

ING-CC-0182

J1437

Monoferric

 

 

 

ANV-NU-0226-21



Featured In:
July 2021 Anthem Provider News - Nevada