J1954 prior authorization | Aetna
J1954, (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Lutrate (leuprolide acetate), is on the Aetna prior authorization list. Not a coverage or referral decision.
- Code
- J1954
- Description
- (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Lutrate (leuprolide acetate)
- Source
- Participating provider precertification list for Aetna, Pg 28 Original policy