Rubrica

CPT J0585 · HCPCS Drug · Molina Healthcare of Florida

Botox — OnabotulinumtoxinA drug (HCPCS) at Molina Healthcare of Florida.

How Molina Healthcare of Florida approaches CPT J0585 (Botox — OnabotulinumtoxinA drug (HCPCS)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy numberMolina MCP — Botulinum Toxin / Magellan PDL

Criteria summary

High-level themes from the Molina Healthcare of Florida policy of record for CPT J0585. Verbatim policy text and per-criterion analysis are available after sign-in.

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Source: Molina Healthcare of Florida — Botulinum Toxin (J0585) administered through pharmacy benefit (Magellan PDL); medical-benefit coverage parallels procedure code (64612/64615/64646/64647) per Molina MCP Botulinum Toxin

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