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HCPCS/CPT J1836, Injection, metronidazole, 10 mg | Prior Auth Required

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`J1836`, Injection, metronidazole, 10 mg

HCPCS/CPT

Prior Authorization

Prior Auth Required

Conditional coverage; review criteria to confirm PA need (medium confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

2 Active Policies

BCBSMS-L-5-01-510-DB8CD71C59, Noritate 1% (metronidazole cream)

MS

HEALTHNET_OR-HNOR-METRONIDAZOLE-VAGINAL-GEL-NUVESSA-CP-CPA-132-456FE24BAC

, Metronidazole Vaginal Gel (Nuvessa); CP.CPA.132

OR

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