www.MercyCareAZ.org
January 6, 2020
J3145 - Injection, testosterone undecanoate

Ap plicable to: Mercy Care Complete Care, Mercy Care RBHA, Mercy Care Long Term Care, Mercy Care DD and Mercy Care Advantage
Effective February 2, 2020, Mercy Care will change the way HCPCS Code J3145 - Injection, testosterone undecanoate, 1 mg (Aveed®) is reviewed and paid. It will require prior authorization and documented trial and failure of two preferred agents in addition to meeting clinical criteria in order to be considered for coverage.

If you have any questions regarding the above, please don't hesitate to contact your Mercy Care Provider Relations Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website.

Thanks for all you do! 

                           
www.MercyCareAZ.org