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HCPCS/CPT J3260, Injection, tobramycin sulfate, up to 80 mg | Prior Auth Required

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`J3260`, Injection, tobramycin sulfate, up to 80 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

3 Active Policies

BCBSLA-00519-1457B6F31A, 00519 Inhaled Antibiotics for Cystic Fibrosis (tobramycin, Tobi, Tobi Podhaler, Bethkis, Cayston)

LA

POINT32HEALTH-PMNG-16676

, Tobi Podhaler (tobramycin)

MULTI

HEALTHNET_OR-HNOR-TOBRAMYCIN-BETHKIS-KITABIS-PAK-TOBI-TOBI-PODHALER-CP-PHA-00DB58EEA2, Tobramycin (Bethkis, Kitabis Pak, TOBI, TOBI Podhaler); CP.PHAR.211

OR

Related Codes

J7682(3 policies)

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