J2356, Injection, tezepelumab-ekko, 1 mgHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
FLORIDA_BLUE-FLBLUE-TEZSPIRE-TEZEPELUMAB-40D72A5144, Tezspire (Tezepelumab)
FL
BCBSLA-00788-16EAC12ACE, 00788 tezepelumab-ekko (Tezspire)
LA
BCBSM-2157727-8311DCE42C, TEZSPIRE (TEZEPELUMAB-EKKO)
MI
BCBSMS-S-5-01-588-2552C953E3, State and School Employees' Health Insurance Plan - Tezspire (tezepelumab-ekko)
MS
BCBSMS-L-5-01-588-DB6A221DEF, Tezspire (tezepelumab-ekko)
MS
POINT32HEALTH-MDMNG-14106, Tezspire (tezepelumab-ekko)
MULTI
POINT32HEALTH-MDMNG-27721, Tezspire (tezepelumab-ekko)
MULTI
POINT32HEALTH-MDMNG-27751, Tezspire (tezepelumab-ekko)
MULTI
POINT32HEALTH-PMNG-17441, Tezspire (tezepelumab-ekko) Pre-filled Pen
MULTI
POINT32HEALTH-PMNG-27801, Tezspire (tezepelumab-ekko) Pre-filled Pen
MULTI
POINT32HEALTH-PMNG-17541, Tezspire (tezepelumab-ekko) pre-filled pen
MULTI
POINT32HEALTH-MDMNG-14096, Tezspire (tezepelumab-ekko)
MULTI
HEALTHNET_OR-HNOR-TEZEPELUMAB-EKKO-TEZSPIRE-CP-PHAR-576-7823CCD9EF, Tezepelumab-ekko (Tezspire); CP.PHAR.576
OR
MODA-TEZSPIRE-A4B03FEF77, Tezspire (tezepelumab-ekko)
OR
IBX-MEDICARE-ADVANTAGE-MA08-144C-B57B0531A7, Tezepelumab-ekko (Tezspire)
PA
EVICORE-MEDICAL_DRUG-04EAA9A455D9, Tezspire (tezepelumab-ekko)
OSCAR-TEZSPIRE-TEZEPELUMAB-PG118-VER-7-1568263673, Tezspire (tezepelumab) (PG118, Ver. 7)
UHC-COMM-MD-TEZSPIRE-TEZEPELUMAB-EKKO-COMMUNITY-PLAN-21606329F0, Tezspire (Tezepelumab-Ekko) – Community Plan Medical Benefit Drug Policy
UHC-POL-provider-administered-drugs-soc, Provider Administered Drugs – Site of Care
UHC-EXCH-MD-TEZSPIRE-TEZEPELUMAB-EKKO-INDIVIDUAL-EXC-6EFAFF1737, Tezspire (Tezepelumab-Ekko) – Individual Exchange Medical Benefit Drug Policy
Ask Backwork about documentation requirements, denial risks, or coverage in your state.