Papzimeos™ (zopapogene imadenovec-drba) (Revised)

Billing team must obtain prior authorization from Humana Medicaid-Indiana before submitting any claims for Papzimeos™ (zopapogene imadenovec-drba). Access the policy documentation at https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a584800 to review specific authorization requirements, medical necessity criteria, and documentation needed. Update internal protocols to flag all Papzimeos™ claims for pre-authorization review. Claims submitted without prior authorization will be denied. Communicate requirements to all relevant clinical staff and ensure encounter documentation includes medical necessity justification.