J1566 prior authorization | Anthem Blue Cross and Blue Shield Virginia

J1566, Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: J1566
Description: Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 68 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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