J1599 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

J1599, Injection, immune globulin, intravenous, non-lyophilized (e.g. liquid), 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: J1599
Description: Injection, immune globulin, intravenous, non-lyophilized (e.g. liquid), not otherwise specified, 500 mg
Source: New Hampshire Precertification List, Pg 238 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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