Injectable Medications are managed by HCP’s highly regarded pharmacy department. The team provides recommendations for appropriate drug choice, dosing, and expected outcomes, all while ensuring your patients get the most value out of medication therapy.
HCP covers drug therapy in the home, in provider offices, and in the hospital setting. When treatment is available safely in the home or office, these are the preferred sites of service. The pharmacy team can assist with arranging home infusion therapy quickly and efficiently.
The following medications are available for use by providers without prior authorization. Medications not found on the list require that a Prior Authorization Request be submitted for review.
A request for Prior Authorization may be submitted to HCP in one of two ways:
The preferred and most efficient way to submit a Prior Authorization (PA) request is via the HCP Web-based data interface, EZ-Net.
Login credentials for EZ-Net are required. Learn More about EZ-Net.
- Prior Authorization requests may also be submitted via FAX.
Send a completed Authorization Request form to (888) 746-6433 or (516) 746-6433.
These medications require no prior authorization:
| J0210 | METHYLDOPATE HCL INJECTION |
| J0280 | AMINOPHYLLIN 250 MG INJ |
| J0330 | SUCCINYCHOLINE CHLORIDE INJ |
| J0390 | CHLOROQUINE INJECTION |
| J0461 | ATROPINE SULFATE INJECTION |
| J0515 | INJ BENZTROPINE MESYLATE |
| J0520 | BETHANECHOL CHLORIDE INJECT |
| J0595 | BUTORPHANOL TARTRATE 1 MG |
| J0706 | CAFFEINE CITRATE INJECTION |
| J0720 | CHLORAMPHENICOL SODIUM INJEC |
| J0745 | INJ CODEINE PHOSPHATE /30 MG |
| J1130 | INJ DICLOFENAC SODIUM 0.5MG |
| J1162 | DIGOXIN IMMUNE FAB (OVINE) |
| J1165 | PHENYTOIN SODIUM INJECTION |
| J1170 | HYDROMORPHONE INJECTION |
| J1230 | METHADONE INJECTION |
| J1245 | DIPYRIDAMOLE INJECTION |
| J1250 | INJ DOBUTAMINE HCL/250 MG |
| J1320 | AMITRIPTYLINE INJECTION |
| J1327 | EPTIFIBATIDE INJECTION |
| J1330 | ERGONOVINE MALEATE INJECTION |
| J1380 | ESTRADIOL VALERATE 10 MG INJ |
| J1430 | ETHANOLAMINE OLEATE 100 MG |
| J1450 | FLUCONAZOLE |
| J1610 | GLUCAGON HYDROCHLORIDE/1 MG |
| J1644 | INJ HEPARIN SODIUM PER 1000U |
| J1726 | MAKENA, 10 MG |
| J1730 | DIAZOXIDE INJECTION |
| J1741 | IBUPROFEN INJECTION |
| J1800 | PROPRANOLOL INJECTION |
| J1817 | INSULIN FOR INSULIN PUMP USE |
| J1940 | FUROSEMIDE INJECTION |
| J1953 | LEVETIRACETAM INJECTION |
| J1980 | HYOSCYAMINE SULFATE INJ |
| J1990 | CHLORDIAZEPOXIDE INJECTION |
| J2001 | LIDOCAINE INJECTION |
| J2210 | METHYLERGONOVIN MALEATE INJ |
| J2300 | INJ NALBUPHINE HYDROCHLORIDE |
| J2310 | INJ NALOXONE HYDROCHLORIDE |
| J2547 | INJECTION, PERAMIVIR |
| J2550 | PROMETHAZINE HCL INJECTION |
| J2560 | PHENOBARBITAL SODIUM INJ |
| J2590 | OXYTOCIN INJECTION |
| J2704 | INJ, PROPOFOL, 10 MG |
| J2710 | NEOSTIGMINE METHYLSLFTE INJ |
| J2785 | REGADENOSON INJECTION |
| J2795 | ROPIVACAINE HCL INJECTION |
| J2800 | METHOCARBAMOL INJECTION |
| J2810 | INJ THEOPHYLLINE PER 40 MG |
| J2950 | PROMAZINE HCL INJECTION |
| J3105 | TERBUTALINE SULFATE INJ |
| J3230 | CHLORPROMAZINE HCL INJECTION |
| J3246 | TIROFIBAN HCL |
| J3265 | INJECTION TORSEMIDE 10 MG/ML |
| J3300 | TRIAMCINOLONE A INJ PRS-FREE |
| J3301 | TRIAMCINOLONE ACET INJ NOS |
| J3360 | DIAZEPAM INJECTION |
| J3471 | OVINE, UP TO 999 USP UNITS |
| J3472 | OVINE, 1000 USP UNITS |
| J3530 | NASAL VACCINE INHALATION |
| J3535 | METERED DOSE INHALER DRUG |
| J7030 | NORMAL SALINE SOLUTION INFUS |
| J7040 | NORMAL SALINE SOLUTION INFUS |
| J7042 | 5% DEXTROSE/NORMAL SALINE |
| J7050 | NORMAL SALINE SOLUTION INFUS |
| J7060 | 5% DEXTROSE/WATER |
| J7070 | D5W INFUSION |
| J7100 | DEXTRAN 40 INFUSION |
| J7110 | DEXTRAN 75 INFUSION |
| J7120 | RINGERS LACTATE INFUSION |
| J7121 | 5% DEXTROSE IN LAC RINGERS |
| J7131 | HYPERTONIC SALINE SOL |
| J7297 | LILETTA, 52 MG |
| J7298 | MIRENA, 52 MG |
| J7300 | INTRAUT COPPER CONTRACEPTIVE |
| J7301 | SKYLA, 13.5 MG |
| J7303 | CONTRACEPTIVE VAGINAL RING |
| J7304 | CONTRACEPTIVE HORMONE PATCH |
| J7306 | LEVONORGESTREL IMPLANT SYS |
| J7307 | ETONOGESTREL IMPLANT SYSTEM |
| J7512 | PREDNISONE IR OR DR ORAL 1MG |
| J7518 | MYCOPHENOLIC ACID |
| J7520 | SIROLIMUS, ORAL |
| J7604 | ACETYLCYSTEINE COMP UNIT |
| J7605 | ARFORMOTEROL NON-COMP UNIT |
| J7606 | FORMOTEROL FUMARATE, INH |
| J7607 | LEVALBUTEROL COMP CON |
| J7608 | ACETYLCYSTEINE NON-COMP UNIT |
| J7609 | ALBUTEROL COMP UNIT |
| J7612 | LEVALBUTEROL NON-COMP CON |
| J7620 | ALBUTEROL IPRATROP NON-COMP |
| J7622 | BECLOMETHASONE COMP UNIT |
| J7627 | BUDESONIDE COMP UNIT |
| J7628 | BITOLTEROL MESYLATE COMP CON |
| J7629 | BITOLTEROL MESYLATE COMP UNT |
| J7631 | CROMOLYN SODIUM NONCOMP UNIT |
| J7633 | BUDESONIDE NON-COMP CON |
| J7634 | BUDESONIDE COMP CON |
| J7635 | ATROPINE COMP CON |
| J7636 | ATROPINE COMP UNIT |
| J7637 | DEXAMETHASONE COMP CON |
| J7638 | DEXAMETHASONE COMP UNIT |
| J7639 | DORNASE ALFA NON-COMP UNIT |
| J7640 | FORMOTEROL COMP UNIT |
| J7642 | GLYCOPYRROLATE COMP CON |
| J7643 | GLYCOPYRROLATE COMP UNIT |
| J7644 | IPRATROPIUM BROMIDE NON-COMP |
| J7645 | IPRATROPIUM BROMIDE COMP |
| J7667 | METAPROTERENOL COMP CON |
| J7668 | METAPROTERENOL NON-COMP CON |
| J7669 | METAPROTERENOL NON-COMP UNIT |
| J7670 | METAPROTERENOL COMP UNIT |
| J7674 | METHACHOLINE CHLORIDE, NEB |
| J7680 | TERBUTALINE SULF COMP CON |
| J7681 | TERBUTALINE SULF COMP UNIT |
| J7682 | TOBRAMYCIN NON-COMP UNIT |
| J7683 | TRIAMCINOLONE COMP CON |
| J7684 | TRIAMCINOLONE COMP UNIT |
| J7685 | TOBRAMYCIN COMP UNIT |
| J7699 | INHALATION SOLUTION FOR DME |
| J7799 | NON-INHALATION DRUG FOR DME |
