Blue Cross and Blue Shield of Montana prior authorization Q2058

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

Code: Q2058
Description: Obecabtagene autoleucel, 10 BCBSMT up to 400 million cd19 car- positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
Source: 2026 Specialty Drugs and Infusion Site of Care Prior Authorization Code List, Pg 26 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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