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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.           

Service Category

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.