MedicaidCoverageMedium impact
COVID-19 Veklury (Remdesivir) Treatment for Pediatric Patients Effective April 25, 2022
Illinois Medicaid - HFS·IL · Pediatrics, Infectious Disease·Provider Notice
Effective date
Apr 25, 2022
We identified it
Jun 20, 2026
Summary
Medicaid now covers COVID-19 Veklury (Remdesivir) treatment for pediatric patients 28+ days old weighing at least 3kg with positive COVID-19 tests. Hospitals must bill using HCPCS code J0248 with specific NDC codes for inpatient or outpatient infusion treatments.
Action Required
Immediately: Update billing system to use HCPCS code J0248 for Remdesivir injections (1 mg units) for pediatric COVID-19 patients. Include required 11-digit NDC codes: 61958-2901-02, 61958-2901-01, or 61958-2902-01. Applies to Medicaid FFS and HealthChoice Illinois managed care plans for patients 28+ days old weighing at least 3kg.