Blue Cross and Blue Shield of Montana prior authorization Q2054
Blue Cross and Blue Shield of Montana prior authorization for Q2054: Lisocabtagene Maraleucel Up BCBSMT To 110 Million Autologous Anti- Cd19 Car-Positive Viable T Cells Including Leukapheresis And Dose Preparation Procedures Per Therapeutic Dose
- Code
- Q2054
- Description
- Lisocabtagene Maraleucel Up BCBSMT To 110 Million Autologous Anti- Cd19 Car-Positive Viable T Cells Including Leukapheresis And Dose Preparation Procedures Per Therapeutic Dose
- Source
- 2026 Specialty Drugs and Infusion Site of Care Prior Authorization Code List, Pg 25 Original policy