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† Lower patient out-of-pocket costs than with Part D Coverage includes infusion pump, ancillary supplies, medication, and nurse training No prior authorization required ‡ For updated coverage and comprehensive support, call Hizentra Connect SM 1-877-355-4447 Monday–Friday, 8 AM to 8 PM ET ICD-10-CM diagnosis codes 1 HCPCS billing codes 2-6 The following HCPCS codes describe supplies (including drugs) rendered by the billing provider