Dexycu® (dexamethasone intraocular suspension)

 

Not covered for Traditional, Optimized, or Medicaid plans.

Medicare Part B coverage: No authorization required.

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

For further information, please see the Injectable Drugs page

Code(s): J1095

Benefit: Medical

Notes: Treatment for inflammation associated with cataract surgery

Criteria for coverage: See PA forms