Aetna prior authorization J0256
Aetna prior authorization for J0256: Alpha 1-proteinase inhibitor (human) (precertification required for the drug and site of care): Aralast NP (alpha 1-proteinase inhibitor)
- Code
- J0256
- Description
- Alpha 1-proteinase inhibitor (human) (precertification required for the drug and site of care): Aralast NP (alpha 1-proteinase inhibitor)
- Description
- Alpha 1-proteinase inhibitor (human) continued: Prolastin-C (alpha 1-proteinase inhibitor)
- Description
- Alpha 1-proteinase inhibitor (human) continued: Zemaira (alpha 1-proteinase inhibitor)
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy
- Source
- Participating provider precertification list for Aetna, Pg 19 Original policy