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DEXTENZA (J1096) has coverage and separate payment for 100% of fee-for-service Medicare patients in the ASC setting.

DEXTENZA has separate payment in the ASC* setting due to meeting the criteria set forth in the non-opioid as a surgical supply provision by CMS.

Select your state from the dropdown menu below to find regional Medicare Advantage and Commercial coverage for DEXTENZA.


The DEXTENZA Commercial Assurance Program (CAP) is a patient assistance program designed to assist eligible patients, who have coverage for DEXTENZA (J1096) through a commercial insurance plan.§