Below is a listing of specialty medications/injectables, including the generic and brand names along with the J codes.
| JCode | GenericName | BrandName |
|---|---|---|
| Q2041 | Axicabtagene ciloleucel | Yescarta |
| J3399 | Onasemnogene abeparvovec-xio | Zolgensma (avxs)-101 |
| Q2042 | Tisagenlecleucel | Kymriah |
| J3398 | Voretigene neparvovec-rzyl | Luxturna |
| Q2053 | brexucabtagene autoleucel | Tecartus |
| Q2055 | Ide-cel | Abecma |
| Q2054 | Lisocabtagene Maraleucel | Breyanzi |
| Q2056 | ciltacabtagene autoleucel | Carvykti |
| J3490, J3590, C9399 | allogeneic processed thymus tissue | Rethymic |
| J3387 | elivaldogene autotemcel | Skysona |
| J3393 | betibeglogene autotemcel | Zynteglo |
| J1411 | entranacogene dezaparvovec | Hemgenix |
| J1413 | delandistrogene moxeparvovec-rokl | Elevidys |
| J3401 | beremagene geperpavec | Vyjuvek |
| J1412 | Valoctocogene roxaparvovec | Roctavian |
| J3392 | exagamglogene autotemcel | Casgevy |
| J3394 | lovotibeglogene autotemcel | Lyfgenia |
| J3490, J3590, C9399 | donislecel-juhn | Lantidra |
| J3490, J3590, C9399 | lifileucel | Amtagvi |
| J3391 | atidarsagene autotemcel | Lenmeldy |
| J1414 | fidanacogene elaparvovec-dzkt | Beqvez |
| J1412 | valoctocogene roxaparvovec-rvox | Roctavian |
| J3399 | onasemnogene abeparvovec-xioi | Zolgensma |
| Q2057 | afamitresgene autoleucel | Tecelra |
| Q2058 | Obecabtagene autocel | Aucatzyl |
| J3402 | remestemcel-l-rknd | Ryoncil |
| J3403 | Revakinagene taroretcel-lwey | Encelto |
| J3389 | Prademagene Zamikeracel | Zevaskyn |
| J3490, J3590, C9399 | eladocagene exuparvovec | Kebilidi |
| J9029 | nadofaragene firadenovec-vcng | Adstiladrin |
| J9325 | talimogene laherparepvec | Imlygic |
| J3404 | zopapogene imadenovec-drba | Papzimeos |
| C9309 | onasemnogene abeparvovec-brve | Itvisma |
| J3490, J3590, C9399 | etuvetidigene autotemcel | Waskyra |
Please note: This list is subject to periodic change.
Certain benefit plans may exclude specific drugs on this listing. Prior authorization does not guarantee benefit payment. Please refer to your summary plan description to confirm coverage and exclusions.
Site of care redirection may apply to injectable drugs.
Gene Therapy Disclaimer: The UMR Recognized Gene Therapy list may vary from the FDA list of approved cellular and gene therapy products. While the UMR Medical Specialty Drug team utilizes the FDA approved cellular and gene therapy products list to guide our decisions on which therapies to include on our list it might vary based on the purpose, administration, and other criteria. This list is not all inclusive and is for informational purposes only.