Dear provider,
The Health Plan of San Mateo (HPSM) has had to make additional changes to the prior authorization required list following our June 1, 2026 publication. Two additional codes were removed due to the unavailability of our preferred product.
Here are the 2 additional codes that were removed from the list for no longer requiring prior authorization:
CPT Code | Description |
|---|---|
J2506 | INJ PEGFILGRASTIM EXC BIOSIM 0.5 MG |
Q5108 | INJECTION PEG-JMDB BIOSIMILR 0.5 MG |
You can review our previous notification with the full list of changes here: Changes to Prior Authorization Required List Effective 6/1/2026
You can find the current prior authorization required list here: Prior Authorizations
For questions, contact the HPSM Provider Services department at PSInquiries@hpsm.org.