Prior Auth Required

90378 - Synagis palivizumab

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSynagis palivizumab
Procedure / Service Description

therapy - Stelara (IV only) ustekinumab (IV only) J3358 Y Sylvant siltuximab J2860 Synagis palivizumab 90378, S9562 Synribo omacetaxine mepesuccinate J9262 Y Synvisc/Synvisc One hylan G-F 20 J7325 Y

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