Q2055 prior authorization | Anthem Blue Cross and Blue Shield Virginia
Q2055, Idecabtagene vicleucel, up to 510 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, p, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- Q2055
- Description
- Idecabtagene vicleucel, up to 510 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, p
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 75 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization