Blue Cross and Blue Shield of Montana prior authorization Q2055

Blue Cross and Blue Shield of Montana prior authorization for Q2055: Idecabtagene Vicleucel Up To BCBSMT 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive T Cells Including Leukapheresis And Dose Preparation Procedures Per Therapeutic Dose

Code: Q2055
Description: Idecabtagene Vicleucel Up To BCBSMT 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive 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

Blue Cross and Blue Shield of Montana prior authorization

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