Blue Cross and Blue Shield of Montana prior authorization S9560

Blue Cross and Blue Shield of Montana prior authorization for S9560: Home Injectable Therapy; Hormonal Therapy (E. G. ; Leuprolide Goserelin) Including Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem

Code: S9560
Description: Home Injectable Therapy; Hormonal Therapy (E. G. ; Leuprolide Goserelin) Including Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 300 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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