Q2042 prior authorization | Anthem Blue Cross and Blue Shield Virginia
Q2042, Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- Q2042
- Description
- Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 75 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization