CPT J7325 · HCPCS Drug · Pennsylvania Medical Assistance
Synvisc / Synvisc-One (HCPCS) at Pennsylvania Medical Assistance.
How Pennsylvania Medical Assistance approaches CPT J7325 (Synvisc / Synvisc-One (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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Criteria summary
High-level themes from the Pennsylvania Medical Assistance policy of record for CPT J7325. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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