Blue Shield of California Promise Health Plan prior authorization 0520U
Blue Shield of California Promise Health Plan prior authorization for 0520U: Therapeutic drug monitoring, 200 or more drugs or substances, lcms/ms, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non- prescribed medications
- Code
- 0520U
- Description
- Therapeutic drug monitoring, 200 or more drugs or substances, lcms/ms, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non- prescribed medications
- Source
- Medi-Cal Prior Authorization List, Pg 17 Original policy
Blue Shield of California Promise Health Plan prior authorization