Nucala® (mepolizumab)

Authorization forms

Traditional & Optimized (05/2019)

Medicare Part B (05/2019)

Nucala is not covered for Medicaid

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

For further information, please see the Injectable Drugs page

Code(s): J2182

Benefit: Medical

Notes: Subcutaneous injection for treatment of asthma