J9003 prior authorization | Aetna
J9003, (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Camcevi ETM (leuprolide mesylate) — precertification required effective July 1, 2026, is on the Aetna prior authorization list. Not a coverage or referral decision.
- Code
- J9003
- Description
- (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Camcevi ETM (leuprolide mesylate) — precertification required effective July 1, 2026
- Source
- Participating provider precertification list for Aetna, Pg 28 Original policy