Molina Healthcare Michigan policy
Zolgensma (onasemnogene abeparvovec)
Zolgensma (onasemnogene abeparvovec) is a public Molina Healthcare Michigan policy (policy 348, effective Jun 10, 2026). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- 348
- Effective
- Jun 10, 2026
- Line of business
- Commercial
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Molina Healthcare Michigan policies |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J3399 | Policies naming J3399 |
All Molina Healthcare Michigan policies · Molina Healthcare Michigan prior authorization CPT list