fbpx
Web-Site-InteriorPage-Graphics-provider-news

Physician-administered drug changes effective October 1, 2023

Provider Icon

Effective October 1, 2023, the Alliance will be implementing changes to the physician-administered drug benefit. The changes are as follows:

HCPCS Code Drug Change
J7318 Hyaluronan or derivative, Durolane No Change; Requires a prior authorization
J7320 Hyaluronan or derivate, Genvisc 850 Require a prior authorization
J7321 Hyaluronan or derivative, Hyalgan, Supartz or Visco-3 No Change; Requires a prior authorization
J7322 Hyaluronan or derivative, Hymovis No Change; Requires a prior authorization
J7323 Hyaluronan or derivative, Euflexxa No Change; Requires a prior authorization
J7324 Hyaluronan or derivative, Orthovisc No Change; Requires a prior authorization
J7325 Hyaluronan or derivative, Synvisc or Synvisc-One No Change; Requires a prior authorization
J7326 Hyaluronan or derivative, Gel-One No Change; Requires a prior authorization
J7327 Hyaluronan or derivate, Monovisc Require a prior authorization
J7328 Hyaluronan or derivative, Gelsyn-3 No Change; Requires a prior authorization
J7329 Hyaluronan or derivate, Trivisc No Change; Non benefit
J7331 Hyaluronan or derivative, Synojoynt No Change; Requires a prior authorization
J7332 Hyaluronan or derivative, Triluron No Change; Requires a prior authorization