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HCPCS/CPT J8522, Capecitabine, oral, 50 mg | Prior Auth Required

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`J8522`, Capecitabine, oral, 50 mg

HCPCS/CPT

Prior Authorization

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

2 Active Policies

BCBSM-2019297-2334662EC7, GENETIC AND LABORATORY TESTING FOR USE OF FLUOROPYRIMIDINES (E.G., 5-FLUOROURACIL AND CAPECITABINE) IN PATIENTS WITH CANCER

MI

EVICORE-HPLAN-CIGNA-729A536F50C8, Q3 - 2026 Cigna MedOnc Master Drug List.pdf

Related Codes

J9190(2 policies)J0209(1 policies)J0881(1 policies)J0641(1 policies)J0642(1 policies)J0870(1 policies)J0584(1 policies)J0208(1 policies)

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