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HCPCS/CPT J3090, Injection, tedizolid phosphate, 1 mg | Prior Auth Required

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`J3090`, Injection, tedizolid phosphate, 1 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

POINT32HEALTH-PMNG-18141, Sivextro (tedizolid)

MULTI

HEALTHNET_OR-HNOR-TEDIZOLID-SIVEXTRO-CP-PMN-62-35C378F9D4

, Tedizolid (Sivextro); CP.PMN.62

OR

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