Anthem Blue Cross and Blue Shield Nevada prior authorization Q2058

Anthem Blue Cross and Blue Shield Nevada prior authorization for Q2058: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion

Code: Q2058
Description: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
Source: Nevada Prior Authorization List, Pg 159 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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