Aveed® (testosterone undeconoate)

Authorization forms

Traditional & Optimized (11/2018) 

Medicare Part D (11/2018)

Medicare Part B (01/2019)


Aveed is not covered for Medicaid.

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

Injectable auth/billing notes:

Medications billed with miscellaneous codes will be reviewed. Explanatory notes must accompany the claim.

Priority Health Medicare applies CMS local coverage determination criteria when available for Part B drugs.

Code(s): J3145

Benefit: Medical

Notes: Testosterone replacement therapy