J7208 prior authorization | Anthem Blue Cross and Blue Shield Virginia

J7208, Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u., is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: J7208
Description: Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 70 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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