9 commercial payer policies list J1453. 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.
Free account. Policy pages stay open to everyone.
9 policies from 8 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 J1453 |
|---|---|---|
| Focinvez (fosaprepitant) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| State and School Employees' Health Insurance Plan - Focinvez (fosaprepitant) | Not recorded | Covered with conditionsInferred from policy title |
| Policy | Effective | Status of J1453 |
|---|---|---|
| Antiemetic Therapy | Feb 27, 2024 | Covered |
| Policy | Effective | Status of J1453 |
|---|---|---|
| Aprepitant (Aponvie, Emend, Cinvanti), Fosaprepitant (Emend for injection, Focinvez); CP.PMN.19 | 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 J1453 |
|---|---|---|
| Q3 - 2026 Jefferson Health Plans MedOnc Master Drug List | Not recorded | Prior auth required |
| Policy | Effective | Status of J1453 |
|---|---|---|
| Injectable Antiemetic Agents [Dolasetron (Anzemet), Granisetron (Kytril, Sustol), Ondansetron (Zofran), Palonosetron (Aloxi), Rolapitant (Varubi), Aprepitant (Cinvanti), Fosaprepitant (Emend), and Fosnetupitant/Palonosetron (Akynzeo), Amisulpride (Barhemsys)] | 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 J1453 |
|---|---|---|
| Antiemetics for Oncology | Oct 1, 2025 | Covered |
| Policy | Effective | Status of J1453 |
|---|---|---|
| Antiemetics for Oncology | Oct 1, 2025 | Covered |
| Policy | Effective | Status of J1453 |
|---|---|---|
| Antiemetics for Oncology | Oct 1, 2025 | Covered |