Prior Auth Required

19406 - 6 Hemgenix prescribing information, CSL Behring LLC, Kankakee, IL . Revised 11/2022. Reviewed 11/22 9/23

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service6 Hemgenix prescribing information, CSL Behring LLC, Kankakee, IL . Revised 11/2022. Reviewed 11/22 9/23
Procedure / Service Description

approves-first-gene-therapy-treat-adults-hemophilia-b - November 22, 2022. Available at: https://www.fda.gov/news-events/press-announcements/fda- approves-first-gene-therapy-treat-adults-hemophilia-b 6 Hemgenix prescribing information, CSL Behring LLC, Kankakee, IL 19406. Revised 11/2022. Reviewed 11/22 9/23 12/2022. CAPITAL DISTRICT PHYSICIANS’ HEALTH PLAN, INC.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.