Blue Cross and Blue Shield of Montana prior authorization J9118

Blue Cross and Blue Shield of Montana prior authorization for J9118: Injection Calaspargase Pegol-Carelon Mknl 10 Units

Code
J9118
Description
Injection Calaspargase Pegol-Carelon Mknl 10 Units
Source
2026 Specialty Drugs and Infusion Site of Care Prior Authorization Code List, Pg 18 Original policy

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