Zoladex Code Changes Effective 4.15.2025
Date: 03/14/25
Zoladex Coverage Change Effective 4/15/2025
Arizona Complete Health-Complete Care Plan (AZCH-CCP) has received notification from AHCCCS that Zoladex will no longer be covered effective 4/15/2025. Please review the details below.
Procedure Code | Procedure Code Description | Coverage or PA Rule | Additional Requirements/Notes | |
Biopharmacy (In-office Injectable) | J9202 |
Goserelin Acetate Implant, Per 3.6 mg | No longer an AHCCCS Covered Code | Manufacturer did not sign the CMS Federal Rebate Contract therefore the drug is not eligible for coverage |
If you have questions, please contact our Pharmacy Provider Liaison via email at azch_pharmacyproviderliaison@azcompletehealth.com or by calling 1-888-788-4408 ext. 6031278.