J1823, Injection, inebilizumab-cdon, 1 mgHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
ARKBLUE-INEBILIZUMAB-CDON-E-G-UPLIZNA-1C877F7B0B, Inebilizumab-cdon (e.g., Uplizna)
AR
FLORIDA_BLUE-FLBLUE-UPLIZNA-INEBILIZUMAB-CDON-09B5F3BCD2, Uplizna (inebilizumab-cdon)
FL
BCBSLA-00736-82FC2948DB, 00736 satralizumab-mwge (Enspryng), inebilizumab-cdon (Uplizna)
LA
BCBSM-2129264-CBB033CB80, UPLIZNA (INEBILIZUMAB)
MI
BCBSMS-S-5-01-575-E7FD13D75A, State and School Employees' Health Insurance Plan - Uplizna (inebilizumab-cdon)
MS
BCBSMS-L-5-01-575-D408C34F90, Uplizna (inebilizumab-cdon)
MS
POINT32HEALTH-MDMNG-14171, Uplizna (inebilizumab-cdon)
MULTI
HEALTHPARTNERS-CC-ENTRY-231391, Satralizumab-mwge (Enspryng) and inebilizumab-cdon (Uplizna)
MULTI
POINT32HEALTH-MDMNG-14181, Uplizna (inebilizumab-cdon)
MULTI
BCBSND-INEBILIZUMAB-CDON-UPLIZNA-DD3D659F09, Inebilizumab Cdon Uplizna
ND
BCBSNE-X-131-5053ACE7BD, ULTOMIRIS, PIASKY, UPLIZNA, EMPAVELI, PIASKY,RYSTIGGO, IMAAVY
NE
BCBSNJ-DRUGS-210-F1ADA34CD4, Inebilizumab-cdon (Uplizna)
NJ
MODA-UPLIZNA-558E5C6296, Uplizna (inebilizumab-cdon)
OR
IBX-MEDICARE-ADVANTAGE-MA08-126C-8C0FF137C5, Inebilizumab-cdon (Uplizna)
PA
IBX-COMMERCIAL-08-01-68C-14C5C2E0AA, Inebilizumab-cdon (Uplizna)
PA
HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICATIO-5WDKHNIZYKCINLF5FCIHZW-4E71B86473, Uplizna
PA
HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICATIO-3XNGTEKCG-A164B44E03, Enspryng (satralizumab-mwge) and Uplizna (inebilizumab-cdon)
PA
UHC-COMM-MD-UPLIZNA-INEBILIZUMAB-CDON-COMMUNITY-PLAN-9D9D004C81, Uplizna (Inebilizumab-Cdon) – Community Plan Medical Benefit Drug Policy
UHC-POL-provider-administered-drugs-soc, Provider Administered Drugs – Site of Care
UHC-EXCH-MD-UPLIZNA-INEBILIZUMAB-CDON-INDIVIDUAL-EXC-8C50D4408D, Uplizna (Inebilizumab-Cdon) – Individual Exchange Medical Benefit Drug Policy
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