Rubrica

CPT J7323 · HCPCS Drug · Highmark Wholecare — PA HealthChoices

Euflexxa (HCPCS) at Highmark Wholecare — PA HealthChoices.

How Highmark Wholecare — PA HealthChoices approaches CPT J7323 (Euflexxa (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 numberWholecare PA Medicaid PDL — Viscosupplementation

Criteria summary

High-level themes from the Highmark Wholecare — PA HealthChoices policy of record for CPT J7323. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Highmark Wholecare PA Medicaid Statewide Preferred Drug List (PDL) — Physician-Administered Drugs

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