J3304 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

J3304, Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: J3304
Description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Source: New Hampshire Precertification List, Pg 240 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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