J0687 prior authorization | Anthem Blue Cross and Blue Shield Virginia
J0687, Injection, cefazolin sodium (WG Critical Care), not therapeutically equivalent to J0690, 500 mg, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- J0687
- Description
- Injection, cefazolin sodium (WG Critical Care), not therapeutically equivalent to J0690, 500 mg
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 67 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization