CPT J7324 · HCPCS Drug · Highmark Wholecare — PA HealthChoices
Orthovisc (HCPCS) at Highmark Wholecare — PA HealthChoices.
How Highmark Wholecare — PA HealthChoices approaches CPT J7324 (Orthovisc (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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Wholecare PA Medicaid PDL — ViscosupplementationCriteria summary
High-level themes from the Highmark Wholecare — PA HealthChoices policy of record for CPT J7324. Verbatim policy text and per-criterion analysis are available after sign-in.
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Source: Highmark Wholecare PA Medicaid Statewide Preferred Drug List (PDL) — Physician-Administered Drugs
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