On Feb. 1, 2021, we will begin requiring prior authorization for leuprolide acetate (HCPCS code J1950) for commercial plan members.
If the member received leuprolide acetate in an outpatient setting from Nov. 1, 2020, through Jan. 31, 2021, you don’t need to submit a prior authorization request. The prior authorization coverage of leuprolide acetate, which the member was receiving prior to Feb. 1, 2021, will be effective through July 31, 2021.
How to Submit Prior Authorization
Sign in using your One Healthcare ID and select the Prior Authorization and Notification tool.