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HCPCS/CPT J8565, Gefitinib, oral, 250 mg | Prior Auth Required

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`J8565`, Gefitinib, oral, 250 mg

HCPCS/CPT

Prior Authorization

Prior Auth Required

At least one active policy explicitly requires prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

1 Active Policy

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

Related Codes

J0208(1 policies)J0209

(1 policies)

J0584(1 policies)

J0641(1 policies)

J0642(1 policies)

J0870(1 policies)

J0881(1 policies)

C9399(1 policies)

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