CPT J7321 · HCPCS Drug · Arkansas Total Care
Supartz / Hyalgan / VISCO-3 (HCPCS) at Arkansas Total Care.
How Arkansas Total Care approaches CPT J7321 (Supartz / Hyalgan / VISCO-3 (HCPCS)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the Arkansas Total Care policy of record for CPT J7321. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Arkansas Total Care (Centene) Medicaid Clinical Policy
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