Anthem Blue Cross and Blue Shield New Hampshire prior authorization J0717
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for J0717: Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)
- Code
- J0717
- Description
- Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)
- Source
- New Hampshire Precertification List, Pg 235 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization