J9381, Injection, teplizumab-mzwv, 5 mcgHCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
ARKBLUE-TEPLIZUMAB-MZWV-E-G-TZIELD-81B60F80CD, Teplizumab-mzwv (e.g., Tzield)
AR
FLORIDA_BLUE-FLBLUE-TEPILIZUMAB-MZWV-TZIELD-860E696308, Tepilizumab-mzwv (Tzield)
FL
BCBSLA-00843-E514C4E9EC, 00843 teplizumab-mzwv (Tzield)
LA
BCBSM-2171628-55E8C4B5C2, TZIELD (TEPLIZUMAB-MZWV)
MI
BCBSMS-S-5-01-598-68F6EAF794, State and School Employees' Health Insurance Plan - Tzield (teplizumab-mzwv)
MS
BCBSMS-L-5-01-598-7522B2D1DD, Tzield (teplizumab-mzwv)
MS
POINT32HEALTH-MDMNG-14136, Tzield (teplizumab-mzwv)
MULTI
HEALTHPARTNERS-CC-ENTRY-260047, Teplizumab (Tzield)
MULTI
POINT32HEALTH-MDMNG-14126, Tzield (teplizumab-mzwv)
MULTI
BCBSNE-X-207-8E3B77610A, TZIELD (PREAUTHORIZATION REQUIRED)
NE
MODA-TZIELD-B929AB7D38, Tzield (teplizumab-mzwv)
OR
HEALTHNET_OR-HNOR-TEPLIZUMAB-MZWV-TZIELD-CP-PHAR-492-DE71F77301, Teplizumab-mzwv (Tzield); CP.PHAR.492
OR
IBX-COMMERCIAL-08-01-99B-87FC80570B, Teplizumab-mzwv (Tzield)
PA
HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICATIO-XTL-CV1UMEA-F9NQB8ZBVG-1363D2F5F3, Tzield
PA
IBX-MEDICARE-ADVANTAGE-MA08-157B-6947AACE6A, Teplizumab-mzwv (Tzield)
PA
AMERIHEALTH-COMMERCIAL-08-01-99B-0A5AF9B6E6, Teplizumab-mzwv (Tzield)
UHC-POL-tzield, Tzield (Teplizumab-Mzwv)
AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-157B-DCBAC9678C, Teplizumab-mzwv (Tzield)
BCBSTN-d749a90c93, Teplizumab-mzwv (Tzield)
EVICORE-MEDICAL_DRUG-ABAA98194796, Tzield (teplizumab-mzwv)
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