J7686 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

J7686, Treprostinil, inhalation solution, FDA- approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: J7686
Description: Treprostinil, inhalation solution, FDA- approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg
Source: New Hampshire Precertification List, Pg 243 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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