J0799 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

J0799, FDA-approved prescription drug, only for use as HIV pre-exposure prophylaxis (not for use as treatment of HIV), not otherwise classified, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: J0799
Description: FDA-approved prescription drug, only for use as HIV pre-exposure prophylaxis (not for use as treatment of HIV), not otherwise classified
Source: New Hampshire Precertification List, Pg 235 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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