17 commercial payer policies list J7351. 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.
17 policies from 12 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 J7351 |
|---|---|---|
| Bimatoprost Implant (Durysta)Effective 08/01/2021 - 07/31/2022 | Aug 1, 2021 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Bimatoprost Implant (Durysta)Effective 08/01/2022 - 07/31/2023 | Aug 1, 2022 | Prior auth requiredInferred from policy title |
| Durysta (bimatoprost implant, for intracameral administration)Effective 07/01/2024 - 06/30/2025 | Jul 1, 2024 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Durysta (bimatoprost implant, for intracameral administration)Effective 07/01/2025 - 06/30/2026 | Jul 1, 2025 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Durysta (bimatoprost implant)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. |
|---|
| Durysta (bimatoprost intracameral implant) | Not recorded | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Policy | Effective | Status of J7351 |
|---|---|---|
| Bimatoprost (e.g., Durysta) | 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 J7351 |
|---|---|---|
| Intravitreal, Punctum, and Intracameral Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J7351 |
|---|---|---|
| Intravitreal, Punctum, and Intracameral Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J7351 |
|---|---|---|
| Intravitreal, Punctum, and Intracameral Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J7351 |
|---|---|---|
| Intravitreal, Punctum, and Intracameral Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J7351 |
|---|---|---|
| Bimatoprost Implant (Durysta) | 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 J7351 |
|---|---|---|
| Bimatoprost Implant (Durysta); CP.PHAR.486 | 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 J7351 |
|---|---|---|
| Prostaglandin intracameral implants: travoprost intracameral implant (iDose TR, Durysta) | 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 J7351 |
|---|---|---|
| Bimatoprost Implant (Durysta) | 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 J7351 |
|---|---|---|
| 00725 bimatoprost Implant (Durysta) | 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 J7351 |
|---|---|---|
| Durysta (bimatoprost intracameral implant) (CG116, Ver. 4) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |