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April 1, 2020 Medical Pharmacy Changes

Mar 09, 2020
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Community Health Options announces the following changes:

 

The Prior Approval requirements are being removed for the following J-Codes under the Medical Benefit effective April 1, 2020.

 

 J-Code

Drug

 

 J-Code

Drug

 J9020

asparaginase

 

 J7401

mometasone furoate sinus implant

 J0291

plazomicin

 

 J9000

doxorubicin hcl

 J0706

caffeine citrate

 

 J9060

cisplatin, powder or solution

 J1130

diclofenac sodium

 

 J9100

cytarabine

 J1443

ferric pyrophosphate citrate solution

 

 J9175

elltiott's b solution

 J1580

gentamicin

 

 J9208

ifosfamide

 J1652

fondaparinux sodium

 

 J9390

vinorelbine tartrate

 J2185

meropenem

 

 Q2009

fosphenytoin

 J2278

ziconotide

 

 Q9950

sulfur hexafluoride lipid microspheres

 J7345

aminolevulinic hcl, 10% gel

 

 S0012

butorphanol tartrate nasal spray

 

The following J-Codes for oral medications will no longer be covered under the Medical Benefit, and will be covered under the pharmacy benefit only effective April 1, 2020

 J-Code

 Drug

 

 J-Code

 Drug

 J7340

 carbidopa/levodopa

 

 J8565

 gefitinib

 J7502

 cyclosporin

 

 J8705

 topotecan

 J7507

 tacrolimus

 

 S0088

 imatinib

 J7515

 cyclosporin

 

 S0137

 didanosine

 J7517

 mycophenolate mofetil

 

 S0138

 finasteride

 J7518

 mycophenolic acid

 

 

 

 

SEE ALSO

Feel free to include the following information in your own newsletters.

As confirmed cases of COVID-19 continue to be reported, you may be wondering what you can do to avoid exposure to the virus. Until a vaccine is developed, healthcare authorities recommend following the same steps you would take to prevent the spread of other respiratory viruses. That includes:

  • cleaning your hands regularly and thoroughly with an alcohol-based hand rub or washing them with soap and water.
  • Maintaining at least three feet of distance between yourself and anyone who is coughing or sneezing.
  • Refraining from touching your eyes, nose and mouth, where the virus can be transmitted into your body.
  • covering your mouth and nose with your bent elbow or tissue when you cough or sneeze, then disposing of the used tissue immediately.

To avoid misinformation about COVID-19, look to trustworthy sources, such as the CDC, the World Health Organization, and local health departments websites to stay informed.