33 commercial payer policies list J9381. 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.
33 policies from 23 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 J9381 |
|---|---|---|
| Tzield (teplizumab-mzwv intravenous infusion)Effective 04/01/2023 - 04/30/2024 | Apr 1, 2023 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Tzield (teplizumab-mzwv) | Not recorded | Prior auth requiredInferred from policy title |
| Tzield (teplizumab-mzwv)Effective 04/01/2025 - 03/31/2026 | Not recorded | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Tzield (teplizumab-mzwv)Effective 04/01/2026 - 08/31/2026 | Not recorded | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Tzield (teplizumab-mzwv)Effective 05/01/2024 - 03/31/2025 | May 1, 2024 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Policy | Effective | Status of J9381 |
|---|---|---|
| Tzield (Teplizumab-Mzwv) | Oct 1, 2026 | Covered |
| Tzield (Teplizumab-Mzwv) – 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. |
| Tzield (Teplizumab-Mzwv) – 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 J9381 |
|---|---|---|
| Teplizumab-mzwv (Tzield) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Teplizumab-mzwv (Tzield) | 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 J9381 |
|---|---|---|
| State and School Employees' Health Insurance Plan - Tzield (teplizumab-mzwv) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Tzield (teplizumab-mzwv) | 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 J9381 |
|---|---|---|
| Teplizumab-mzwv (Tzield) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Teplizumab-mzwv (Tzield) | 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 J9381 |
|---|---|---|
| Tzield (teplizumab-mzwv) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Tzield (teplizumab-mzwv) | 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 J9381 |
|---|---|---|
| Teplizumab-mzwv (e.g., Tzield) | 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 J9381 |
|---|---|---|
| Teplizumab-mzwv | Apr 1, 2026 | Covered |
| Policy | Effective | Status of J9381 |
|---|---|---|
| Teplizumab-mzwv | Apr 1, 2026 | Covered |
| Policy | Effective | Status of J9381 |
|---|---|---|
| Teplizumab-mzwv | Apr 1, 2026 | Covered |
| Policy | Effective | Status of J9381 |
|---|---|---|
| Teplizumab-mzwv | Apr 1, 2026 | Covered |
| Policy | Effective | Status of J9381 |
|---|---|---|
| TZIELD | 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 J9381 |
|---|---|---|
| TZIELD (TEPLIZUMAB-MZWV) | 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 J9381 |
|---|---|---|
| Teplizumab-mzwv (Tzield) | Mar 2, 2023 | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J9381 |
|---|---|---|
| Tepilizumab-mzwv (Tzield) | 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 J9381 |
|---|---|---|
| Teplizumab-mzwv (Tzield); CP.PHAR.492 | 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 J9381 |
|---|---|---|
| Teplizumab (Tzield) | 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 J9381 |
|---|---|---|
| Tzield | 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 J9381 |
|---|---|---|
| 00843 teplizumab-mzwv (Tzield) | 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 J9381 |
|---|---|---|
| Tzield (teplizumab-mzwv) | 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 J9381 |
|---|---|---|
| Tzield (teplizumab-mzwv) (CG072, Ver. 5) | 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 J9381 |
|---|---|---|
| Tzield (Teplizumab-Mzwv) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of J9381 |
|---|---|---|
| Tzield (Teplizumab-Mzwv) | Oct 1, 2026 | Covered |