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1 Fev, 2024

PA Requirement changes for Medicare Members

Effective 1 de abril, 2024, there will be changes to three pharmacy codes regarding their prior authorization requirements:

Removal of Prior Authorization

Synvisc (J7325) 

Adding Prior Authorization

Duralane (J7318) 

Orthovisc (J7324) 

Removal of prior authorization 

Effective 1 de abril, 2024, the prior authorization requirement will be removed from Angioplasty and Stent, Carotid: CPT Codes 37215, 37216, 37217.