Immunosuppressive Drugs
National · Effective Jan 1, 2026
1 active Medicare policy lists J8610, and 11 commercial payer policies list it. 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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National · Effective Jan 1, 2026
11 policies from 9 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 J8610 |
|---|---|---|
| METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPY | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPY - MEDICARE ADVANTAGE | Not recorded | Covered with conditionsInferred from policy title |
| Policy | Effective | Status of J8610 |
|---|---|---|
| 00520 Auto-injectable Methotrexate (Otrexup)-Retired Policy | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| 00602 methotrexate oral solution (Xatmep, Jylamvo) | 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 J8610 |
|---|---|---|
| Alopecia Areata | Feb 16, 2024 | Covered |
| Policy | Effective | Status of J8610 |
|---|---|---|
| METHOTREXATE INJECTABLE STEP THERAPY (THROUGH PREFERRED AGENTS) | 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 J8610 |
|---|---|---|
| Methotrexate Step Therapy | 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 J8610 |
|---|---|---|
| Methotrexate (Otrexup, Rasuvo, Reditrex, Xatmep, Jylamvo); CP.PHAR.134 | 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 J8610 |
|---|---|---|
| Methotrexate | 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 J8610 |
|---|---|---|
| Methotrexate Injectable Solution (PG249, Ver. 3) | 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 J8610 |
|---|---|---|
| Xatmep (methotrexate) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |