Anthem Blue Cross and Blue Shield New Hampshire prior authorization Q2056
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for Q2056: Ciltacabtagene autoleucel, up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Code
- Q2056
- Description
- Ciltacabtagene autoleucel, up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Source
- New Hampshire Precertification List, Pg 254 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization