Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9301

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9301: Obecabtagene autoleucel, up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Code: C9301
Description: Obecabtagene autoleucel, up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Source: New Hampshire Precertification List, Pg 217 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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