Web28 set 2024 · Refer to: The current Texas Medicaid Provider Procedures Manual, Outpatient Drug Services Handbook, subsection 7.12, “Brexanolone (Zulresso),” for the prior authorization requirements. Procedure code J3241 is a replacement for discontinued procedure code C9061, and will have the same prior authorization requirements. WebThe NDC Packaged Code 75987-130-15 is assigned to a package of 1 vial, single-dose in 1 carton / 1 injection, powder, lyophilized, for solution in 1 vial, single-dose of Tepezza, a human prescription drug labeled by …
2024 Medical Injectable Drug Authorization List - UCare
Web8 ott 2024 · Drug Name HCPCS Code Stelara SQ J3357 Sylvant J2860 Synribo J9262 Takhzyro J0593 Tecartus NOC Tecentriq J9022 Tegsedi NOC Tepezza J3241 Treanda … Web13 mar 2024 · HCPCS Procedure & Supply Codes. J3241 - Injection, teprotumumab-trbw, 10 mg. The above description is abbreviated. This code description may also have … electoral count act 意味
Third Quarter 2024 HCPCS Updates for Texas Medicaid TMHP
WebDepending on member benefits, additional criteria may apply for coverage of this drug in an outpatient facility setting. ... HCPCS code: J3241 – Injection, teprotumumab-trbw, 10 mg: 1 billable unit = 10 mg; NDC: Tepezza 500 mg single-dose vial for injection: 75987-0130-xx ; … WebFor commercial plan members using our Medical Specialty Precertification Drug List, ... J3241: Tezspire (tezepelumab-ekko) CC-0212: J2356: Somatuline Depot (lanreotide) CC-0142 J1930, J1932 Subcutaneous Hormonal Implants: ... HoN Code ; Site Map; Feedback Web31 lug 2014 · Best answers. 0. Jul 23, 2014. #2. 96413 is not the correct admin code for that drug. The correct code would be either 96365 or 96374 depending on the start and stop times for the admin (the length of time it took to administer the drug). Can you provide more information? Also, the J7030 is included with the administration of the drug. food safe bc sign in