Testopel® (testosterone pellet)

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

For further information, please see the Injectable Drugs page

Code(s): J3490, S0189

Benefit: Medical

Notes: Treatment of hypogonadism

Criteria for coverage:

  • See PA form for criteria for Commercial

  • Not Covered for Medicare