43 commercial payer policies list J0129. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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43 policies from 21 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia)Effective 09/01/2022 - 07/31/2023 | Sep 1, 2022 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Abatacept (Orencia)Effective 10/01/2021 - 08/31/2022 | Oct 1, 2021 | Prior auth requiredInferred from policy title |
| Abatacept (Orencia)Effective 11/01/2020 - 09/30/2021 | Nov 1, 2020 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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| Abatacept (Orencia)Effective 11/02/2018 - 11/30/2019 | Nov 2, 2018 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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| Abatacept (Orencia)Effective 12/01/2019 - 10/31/2020 | Dec 1, 2019 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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| Orencia (abatacept)Effective 07/01/2024 - 07/31/2025 | Jul 1, 2024 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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| Orencia (abatacept)Effective 08/01/2023 - 06/30/2024 | Aug 1, 2023 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Orencia Intravenous (abatacept) | Not recorded | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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| Orencia Intravenous (abatacept)Effective 08/01/2025 - 06/30/2026 | Aug 1, 2025 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (Abatacept) Injection for Intravenous Infusion | Jun 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Jul 1, 2026 | Covered |
| Orencia (Abatacept) Injection for Intravenous Infusion – Commercial and Individual Exchange Medical Benefit Drug Policy | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Orencia (Abatacept) Injection for Intravenous Infusion – Community Plan Medical Benefit Drug Policy | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept | Apr 1, 2026 | Covered |
| Oncology Medications | Jul 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept | Apr 1, 2026 | Covered |
| Oncology Medications | Jul 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept | Apr 1, 2026 | Covered |
| Oncology Medications | Jul 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept | Apr 1, 2026 | Covered |
| Oncology Medications | Jul 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) for Injection for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Abatacept (Orencia) for Injection for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) for Injection for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Abatacept (Orencia) for Injection for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (Abatacept) Injection for Intravenous Infusion | Jun 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Jul 1, 2026 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) | Feb 20, 2024 | Covered |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (e.g., Orencia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| ORENCIA (ABATACEPT) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept Orencia | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (abatacept) for Intravenous Use. Medical Policy MP 5.01.671 Orencia (abatacept) for Intravenous Use DISCLAIMER/INSTRUCTIONS FOR USE This medical policy provides general guidance for | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) | Jul 8, 2006 | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Abatacept (Orencia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| 00214 abatacept (Orencia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (abatacept) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (abatacept) Subcutaneous | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0129 |
|---|---|---|
| Orencia (Abatacept) Injection for Intravenous Infusion | Jun 1, 2026 | Covered |