Sylvant® (siltuximab)

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): J2860, C9455

Benefit: Medical

Notes: Treatment of multicentric Castleman's disease (MCD) who are HIV & human herpesvirus-8 (HHV-8) negative.