WebAloxi 0.25 mg/5 mL solution for injection: 1 vial per 7 day supply − Aloxi 0.075 mg/1.5 mL solution for injection: 1 vial B. Max Units (per dose and over time) [HCPCS Unit]: CINV: • 10 billable units per 7 days PONV: • 3 billable units as one time only . III. Initial Approval Criteria 1,2,3,4,5 Coverage is provided in the following ... WebThese highlights do not include all the information needed to use ALOXI INJECTION safely and effectively. See full prescribing information for ALOXI INJECTION. ALOXI ® (palonosetron HCl) injection, for intravenous use . Initial U.S. Approval: 2003 -----INDICATIONS AND USAGE----- ALOXI is a serotonin-3 (5-HT
2024 HCPCS J-Codes - Drugs administered other than oral …
WebHCPCS code: J2469 – Injection, palonosetron HCl, 25 mcg: 1 billable unit = 25 mcg (0.025 mg) NDC: Aloxi 0.25 mg/5 mL solution for injection; single-dose vial: 69639-103-xx; Aloxi 0.075 mg/1.5 mL solution for injection; single-dose vial: 69639-103-xx (not commercially available) Generics available from multiple manufacturers. VII. References WebJan 3, 2024 · You don’t have to request a prior authorization if the member received these anti-emetic drugs between Oct. 1, 2024, and Jan. 2, 2024, in an outpatient setting for a cancer diagnosis. For these members, we’ll authorize the anti-emetic drug the member was receiving until June 30, 2024, unless you make a change in treatment. ford knox hoofddorp
Medicare: Prior authorization required for oncology anti-emetics
WebApr 10, 2013 · Best answers. 0. Apr 3, 2013. #1. Hello: We have a member who received a chemotherapy treatment consisting of a therapeutic IV infusion of Dexamethosone (J1100), a therapeutic IV push of Aloxi (J2469) and a chemotherapy IV push of Navelbine (J9390). We billed 96367 for the infusion of J1100 with 20 minute IV run time, a 96375 for the … WebHCPCS code: J2469 – Injection, palonosetron HCl, 25 mcg: 1 billable unit = 25 mcg (0.025 mg) NDC: • Aloxi 0.25 mg/5 mL solution for injection; single-dose vial: 69639-103-xx • … Webinclude: Emend (fosaprepitant), Aloxi (palonosetron) and Afstyla (antihemophilic). Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions, take precedence over these prior authorization rules and must be considered first when determining coverage. elvis the king cobra