Molina Healthcare of Kentucky policy
Pluvicto KY Effective Date December 4, 2025
Pluvicto KY Effective Date December 4, 2025 is a public Molina Healthcare of Kentucky policy (effective Dec 4, 2025). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Effective
- Dec 4, 2025
- Line of business
- Medicaid
- States
- KY
- Source
- www.molinahealthcare.com
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 of Kentucky policies |
|---|---|
| 79101 | Policies naming 79101 |
| A9607 | Policies naming A9607 |
| A9699 | Policies naming A9699 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list