J3304 prior authorization | Anthem Blue Cross and Blue Shield Virginia
J3304, Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- J3304
- Description
- Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 69 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization