Anthem Blue Cross Blue Shield of Georgia prior authorization Q2042
Anthem Blue Cross Blue Shield of Georgia 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
- Standard Local Prior Authorization Code List, Pg 118 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization