Anthem Blue Cross Blue Shield of Georgia prior authorization Q2058

Anthem Blue Cross Blue Shield of Georgia prior authorization for Q2058: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion

Code: Q2058
Description: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
Source: Standard Local Prior Authorization Code List, Pg 118 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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