Rubrica

CPT J7321 · HCPCS Drug · Geisinger Health Plan — PA HealthChoices

Supartz / Hyalgan / VISCO-3 (HCPCS) at Geisinger Health Plan — PA HealthChoices.

How Geisinger Health Plan — PA HealthChoices approaches CPT J7321 (Supartz / Hyalgan / VISCO-3 (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 numberGHP Family Medical Drug PA

Criteria summary

High-level themes from the Geisinger Health Plan — PA HealthChoices 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: Geisinger Health Plan / GHP Family Medicaid Medical Drug Prior Authorization List (Office of Pharmacy Services / Statewide PDL)

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