20 commercial payer policies list J1440. 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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20 policies from 15 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 J1440 |
|---|---|---|
| Rebyota (fecal microbiota, live-jslm) | Oct 1, 2025 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Rebyota (fecal microbiota, live-jslm)Effective 10/01/2024 - 09/30/2025 | Oct 1, 2024 | Prior auth requiredInferred from policy title |
| Rebyota (fecal microbiota, live-jslm)Effective 10/01/2026 | Not recorded | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Rebyota (fecal microbiota, live-jslm)Effective 11/01/2023 - 09/30/2024 | Nov 1, 2023 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Policy | Effective | Status of J1440 |
|---|---|---|
| Rebyota (Fecal Microbiota, Live-Jslm) | Dec 1, 2025 | Covered |
| Rebyota (Fecal Microbiota, Live-Jslm) – 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. |
| Rebyota (Fecal Microbiota, Live-Jslm) – 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. |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments | Feb 20, 2024 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Fecal microbiota, live-jslm (e.g., Rebyota) | 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 J1440 |
|---|---|---|
| Fecal Microbiota Transplantation (FMT) | Jun 15, 2025 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Fecal Microbiota Transplantation (FMT) | Jun 15, 2025 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Fecal Microbiota Transplantation (FMT) | Jun 15, 2025 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Fecal Microbiota Transplantation (FMT) | Jun 15, 2025 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| REBYOTA (FECAL MICROBIOTA, LIVE - JSLM) | 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 J1440 |
|---|---|---|
| Fecal microbiota, live-jslm (Rebyota); CP.PHAR.613 | 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 J1440 |
|---|---|---|
| Fecal microbiota, live - jslm (Rebyota) | 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 J1440 |
|---|---|---|
| 00852 Fecal microbiota, live-jslm (Rebyota) | 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 J1440 |
|---|---|---|
| Rebyota (fecal microbiota, live - jslm) (PG240, 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 J1440 |
|---|---|---|
| Rebyota (Fecal Microbiota, Live-Jslm) | Dec 1, 2025 | Covered |
| Policy | Effective | Status of J1440 |
|---|---|---|
| Rebyota (Fecal Microbiota, Live-Jslm) | Dec 1, 2025 | Covered |