Cetirizine Hydrochloride

Medicare Prior Authorization List Effective January 1, 2021

c9057 remove 1/1/2021 injection cetirizine hcl 1 mg c9058 remove 1/1/2021 injection pegfilgrastim-bmez biosimilar 0.5 c9061 injection teprotumumab-trbw 10 mg c9063 injection eptinezumab-jjmr 1 mg c9122 mometasone furoate sinus implant 10 mcg sinuva c9130 remove 1/1/2021 inj immune globulin bivigam 500 mg c9133 factor ix recombinant

  January, Effective, Lists, Medicare, Authorization, Prior, Cetirizine, Medicare prior authorization list effective january 1