5 commercial payer policies list J1428. 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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5 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of J1428 |
|---|---|---|
| Exondys 51 (Eteplirsen) | May 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Jul 1, 2026 | Covered |
| Policy | Effective | Status of J1428 |
|---|---|---|
| Exondys 51 (Eteplirsen) | May 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Jul 1, 2026 | Covered |
| Policy | Effective | Status of J1428 |
|---|---|---|
| Exondys 51 (Eteplirsen) | May 1, 2026 | Covered |