J0641 prior authorization | Anthem Blue Cross Blue Shield of California
J0641: Levoleucovorin (Fusilev). Imported Anthem Blue Cross Blue Shield of California PPO source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.
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- Code
- J0641
- Description
- Levoleucovorin (Fusilev)
- Source
- California PPO Prior Authorization List, Pg 188 Original policy
Anthem Blue Cross Blue Shield of California prior authorization