Q2057 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

Q2057, Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: Q2057
Description: Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
Source: New Hampshire Precertification List, Pg 254 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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