J0696 prior authorization | Anthem Blue Cross and Blue Shield Nevada

J0696, Ceftriaxone Sodium Injection, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: J0696
Description: Ceftriaxone Sodium Injection
Source: Nevada Prior Authorization List, Pg 147 Original policy

Anthem Blue Cross and Blue Shield Nevada policies that name J0696

The payer's medical and payment policies that list J0696, those listing the fewest codes first. A policy can also list a code it excludes.

CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme Disease · CG-MED-98View policy ↗
Frequency Editing - Professional · C-08012View PDF ↗

Anthem Blue Cross and Blue Shield Nevada prior authorization

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