Anthem Blue Cross and Blue Shield Nevada prior authorization Q2043
Anthem Blue Cross and Blue Shield Nevada prior authorization for Q2043: Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap- gm-csf, including leukapheresis and all other preparatory procedures, per infusion
- Code
- Q2043
- Description
- Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap- gm-csf, including leukapheresis and all other preparatory procedures, per infusion
- Source
- Nevada Prior Authorization List, Pg 158 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization