J1566 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

J1566, Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: J1566
Description: Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
Source: New Hampshire Precertification List, Pg 237 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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