{"id":8718,"date":"2025-07-02T19:51:58","date_gmt":"2025-07-02T19:51:58","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8718"},"modified":"2025-07-02T20:33:55","modified_gmt":"2025-07-02T20:33:55","slug":"opioid-antagonists-coverage","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/opioid-antagonists-coverage\/","title":{"rendered":"Opioid Antagonists Coverage"},"content":{"rendered":"<p>Please read the following update related to various Health New England programs and changes that may have an impact on your patients and\/or your practice.<\/p>\n<p><strong>Opioid Antagonists Coverage<\/strong><\/p>\n<ul>\n<li>Effective Services beginning on 7\/1\/2025<\/li>\n<li>Commercial line of business<\/li>\n<li>Product: Naloxone nasal spray inhaler which consists of two spray inhalers, with each inhaler containing 4 mg of naloxone<\/li>\n<li>Revenue code 636<\/li>\n<li>HCPCS code: J3490 (unclassified code)<\/li>\n<li>Modifier: HG<\/li>\n<li>If necessary claims information is not provided, the claim payment may be delayed or denied.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Health New England shall provide coverage and reimbursement for an opioid antagonist used in the reversal of overdoses caused by opioids as a medical benefit when dispensed by the health care facility in which the opioid antagonist was prescribed or ordered and shall provide coverage as a pharmacy benefit for an opioid antagonist used in the reversal of overdoses caused by opioids dispensed by a pharmacist, including an opioid antagonist dispensed pursuant to section 19B of chapter 94C.<\/p>\n<p>If you have any questions about the information in this notice, please contact Health New England Provider Relations at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please read the following update related to various Health New England programs and changes that may have an impact on your patients and\/or your practice. Opioid Antagonists Coverage Effective Services beginning on 7\/1\/2025 Commercial line of business Product: Naloxone nasal spray inhaler which consists of two spray inhalers, with each inhaler containing 4 mg of [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8718","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2gC","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8718","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8718"}],"version-history":[{"count":5,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8718\/revisions"}],"predecessor-version":[{"id":8723,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8718\/revisions\/8723"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8718"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}