Texas MedicaidLow ImpactPrior Auth

Prior Authorization Criteria for Zopapogene Imadenovec-drba (Papzimeos) Effective May 1, 2026

Published April 18, 2026Effective May 1, 2026

AI Summary

Starting May 1, 2026, Texas Medicaid will require prior authorization for zopapogene imadenovec-drba (Papzimeos) using procedure code J3404. This drug treats adults with recurrent respiratory papillomatosis and requires specific criteria including age 18+, confirmed diagnosis, HPV serotype documentation, and surgical debulking before treatment.

Action Required

By May 1, 2026: Billing team must update system to require prior authorization for HCPCS code J3404 (zopapogene imadenovec-drba) for Texas Medicaid patients. Providers must use Special Medical Prior Authorization (SMPA) Request Form and ensure all criteria are met including patient age 18+, diagnosis code D141, HPV serotype documentation, and surgical debulking attestation. Claims will be denied without proper prior authorization.

Affected Billing Codes

J3404D141

Plan Types

Medicaid

States

TX

Specialties

ent, pulmonology, oncology