J0638, Injection, canakinumab, 1 mgHCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
ARKBLUE-CANAKINUMAB-E-G-ILARIS-B1E541F9AA, Canakinumab (e.g., Ilaris)
AR
FLORIDA_BLUE-FLBLUE-CANAKINUMAB-ILARIS-3D6A97179D, Canakinumab (Ilaris)
FL
BCBSM-2036640-EAE8782331, ILARIS (CANAKINUMAB)
MI
BCBSMS-S-5-01-485-F3569E684B, State and School Employees' Health Insurance Plan - Interleukin-1 Inhibitors (Ilaris)
MS
BCBSMS-L-5-01-485-D90B47BBBD, Interleukin-1 Inhibitors (Arcalyst, Ilaris, Kineret)
MS
POINT32HEALTH-MDMNG-12981, Ilaris (canakinumab)
MULTI
HEALTHPARTNERS-CC-ENTRY-204622, Canakinumab (Ilaris)
MULTI
POINT32HEALTH-MDMNG-12991, Ilaris (canakinumab)
MULTI
BCBSNJ-DRUGS-070-C757B1C40C, Canakinumab (Ilaris)
NJ
MODA-ILARIS-1120DFAEB3, Ilaris (canakinumab)
OR
HEALTHNET_OR-HNOR-CANAKINUMAB-ILARIS-CP-PHAR-246-78D5EAC530, Canakinumab (Ilaris); CP.PHAR.246
OR
IBX-MEDICARE-ADVANTAGE-MA08-101C-7EAB6A02CB, Canakinumab (Ilaris)
PA
IBX-COMMERCIAL-08-01-51C-C66B5927DB, Canakinumab (Ilaris)
PA
AMERIHEALTH-COMMERCIAL-08-01-51C-CEF4B16764, Canakinumab (Ilaris)
AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-101C-DA9C3E199E, Canakinumab (Ilaris)
BCBSTN-d7ed221497, Canakinumab (Ilaris)
EVICORE-MEDICAL_DRUG-540C98ED7287, Ilaris (canakinumab)
OSCAR-ILARIS-CANAKINUMAB-PG185-VER-3-8E546020AE, Ilaris (canakinumab) (PG185, Ver. 3)
UHC-COMM-MD-ILARIS-CANAKINUMAB-COMMUNITY-PLAN-MEDICA-1390BA0651, Ilaris (Canakinumab) – Community Plan Medical Benefit Drug Policy
UHC-POL-ilaris-canakinumab, Ilaris (Canakinumab)
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