Anthem Blue Cross Blue Shield of Georgia prior authorization B5200

Anthem Blue Cross Blue Shield of Georgia prior authorization for B5200: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids - FreAmine-HBC - premix

Code: B5200
Description: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids - FreAmine-HBC - premix
Source: Standard Local Prior Authorization Code List, Pg 143 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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