J2281 prior authorization | Anthem Blue Cross and Blue Shield Virginia

J2281, Injection, moxifloxacin (Fresenius Kabi), not therapeutically equivalent to J2280, 100 mg, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: J2281
Description: Injection, moxifloxacin (Fresenius Kabi), not therapeutically equivalent to J2280, 100 mg
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 69 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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