J0256 prior authorization | Aetna
J0256, Alpha 1-proteinase inhibitor (human) (precertification required for the drug and site of care): Aralast NP (alpha 1-proteinase inhibitor), is on the Aetna prior authorization list. Not a coverage or referral decision.
- Code
- J0256
- Description
- Alpha 1-proteinase inhibitor (human) (precertification required for the drug and site of care): Aralast NP (alpha 1-proteinase inhibitor)
- Description
- Alpha 1-proteinase inhibitor (human) continued: Prolastin-C (alpha 1-proteinase inhibitor)
- Description
- Alpha 1-proteinase inhibitor (human) continued: Zemaira (alpha 1-proteinase inhibitor)
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy