Anthem Blue Cross and Blue Shield New Hampshire prior authorization J7686

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for J7686: Treprostinil, inhalation solution, FDA- approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Code: J7686
Description: Treprostinil, inhalation solution, FDA- approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg
Source: New Hampshire Precertification List, Pg 243 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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