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HCPCS/CPT J8700, Temozolomide, oral, 5 mg | Prior Auth Required

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`J8700`, Temozolomide, oral, 5 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

Key Coverage Criteria

Temodar is indicated for the treatment of adult patients with newly diagnosed glioblastoma concomitantly with radiotherapy and then as maintenance treatment.

3 Active Policies

BCBSNJ-DRUGS-054-FE914BB325, Alkylating Agent(s) [Temozolomide intravenous (Temodar)]

NJ

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

BCBSTN-2ae719aa3d, Temozolomide (Temodar)

Related Codes

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