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Medicare AdvantagePrior AuthHigh impact

Update to Medical Benefit Drug Coverage for Medical Mutual Medicare Advantage Plans

Medical Mutual of Ohio·Oncology, Hematology·Pharmacy
Effective date
Nov 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Effective November 1, 2023, Medical Mutual Medicare Advantage Plans will require prior authorization for Infugem (gemcitabine) and Pemfexy (pemetrexed) chemotherapy drugs. Other formulations of these same drugs will continue to be managed by claims edit without prior authorization requirements.

Action Required

Action needed
Immediately: Billing team must update system to require prior authorization for HCPCS codes J9198 (Infugem) and J9304 (Pemfexy) for all Medical Mutual Medicare Advantage patients. Update encounter forms to alert providers that these specific drug brands require prior auth while other formulations (J9201, J9305, J9294, J9296, J9314, J9297) do not. Claims for J9198 and J9304 will be denied without prior authorization.

Affected Billing Codes

J9198
J9304
J9201
J9305
J9294
J9296
J9314
J9297