MedicaidJuly 1, 2021
Correction to a prior authorization update
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.
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
|
PUBLICATIONS: July 2021 Anthem Provider News - Nevada
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