Anthem Blue Cross Blue Shield of California prior authorization 79403

Anthem Blue Cross Blue Shield of California prior authorization for 79403: Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion [when specified as injection of yttrium Y-90 ibritumomab tiuxetan (Zevalin)]

Code: 79403
Description: Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion [when specified as injection of yttrium Y-90 ibritumomab tiuxetan (Zevalin)]
Source: California PPO Prior Authorization List, Pg 123 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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