23 commercial payer policies list J1307. 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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23 policies from 18 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 J1307 |
|---|---|---|
| Crovalimab-akkz (Piasky) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Crovalimab-akkz (PiaSky) | Not recorded | Covered with conditionsInferred from policy title |
| Policy | Effective | Status of J1307 |
|---|---|---|
| PiaSky (crovalimab-akkz) | Nov 1, 2025 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| PiaSky (crovalimab-akkz)Effective 11/01/2024 - 10/31/2025 | Nov 1, 2024 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz (Piasky) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Crovalimab-akkz (PiaSky) | 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 J1307 |
|---|---|---|
| Complement C5 Inhibitors | Apr 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Oct 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Complement C5 Inhibitors | Apr 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Oct 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz (e.g., PiaSky) | 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 J1307 |
|---|---|---|
| Crovalimab-akkz | May 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz | May 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz | May 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz | May 1, 2026 | Covered |
| Policy | Effective | Status of J1307 |
|---|---|---|
| ULTOMIRIS, PIASKY, UPLIZNA, EMPAVELI, PIASKY,RYSTIGGO, IMAAVY | 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 J1307 |
|---|---|---|
| PIASKY (CROVALIMAB-AKKZ) | 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 J1307 |
|---|---|---|
| Crovalimab-akkz (Piasky) | Mar 4, 2025 | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J1307 |
|---|---|---|
| Crovalimab-akkz (PiaSky); CP.PHAR.664 | 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 J1307 |
|---|---|---|
| 00903 crovalimab-akkz (PiaSky) | 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 J1307 |
|---|---|---|
| Piasky (crovalimab-akkz) | 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 J1307 |
|---|---|---|
| PiaSky (crovalimab-akkz) (PG262, Ver. 2) | 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 J1307 |
|---|---|---|
| Complement C5 Inhibitors | Apr 1, 2026 | Covered |