Anthem Blue Cross Blue Shield of Colorado prior authorization Q2042
Anthem Blue Cross Blue Shield of Colorado prior authorization for Q2042: Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Code
- Q2042
- Description
- Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Source
- Colorado Prior Authorization List, Pg 166 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization