21 commercial payer policies list J9038. 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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21 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 J9038 |
|---|---|---|
| Niktimvo (Axatilimab-Csfr) | Apr 1, 2026 | Covered |
| Niktimvo (Axatilimab-Csfr) – Commercial and 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. |
| Niktimvo (Axatilimab-Csfr) – 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. |
| Policy | Effective | Status of J9038 |
|---|---|---|
| Axatilimab-csfr (Niktimvo) for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Axatilimab-csfr (Niktimvo) for Intravenous Use | 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 J9038 |
|---|---|---|
| Niktimvo (axatilimab-csfr) | 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 - Niktimvo (axatilimab-csfr) | 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 J9038 |
|---|---|---|
| Axatilimab-csfr (Niktimvo) for Intravenous Use | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Axatilimab-csfr (Niktimvo) for Intravenous Use | 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 J9038 |
|---|---|---|
| Niktimvo (axatilimab-csfr) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Niktimvo (axatilimab-csfr) | 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 J9038 |
|---|---|---|
| Axatilimab (e.g., Niktimvo) | 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 J9038 |
|---|---|---|
| NIKTIMVO (AXATILIMAB-CSFR) | 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 J9038 |
|---|---|---|
| Axatilimab-csfr (Niktimvo) | Apr 30, 2025 | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J9038 |
|---|---|---|
| Axatilimab-csfr (Niktimvo); CP.PHAR.691 | 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 J9038 |
|---|---|---|
| Axatilimab-csfr (Niktimvo) | 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 J9038 |
|---|---|---|
| 00935 axatilimab-csfr (Niktimvo) | 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 J9038 |
|---|---|---|
| Niktimvo (axatilimab-csfr) | 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 J9038 |
|---|---|---|
| Niktimvo (axatilimab) (PG252, 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 J9038 |
|---|---|---|
| Niktimvo (Axatilimab-Csfr) | Apr 1, 2026 | Covered |
| Policy | Effective | Status of J9038 |
|---|---|---|
| Niktimvo (Axatilimab-Csfr) | Apr 1, 2026 | Covered |