J1561 prior authorization | Anthem Blue Cross and Blue Shield Virginia
J1561, Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- J1561
- Description
- Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 68 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization