J1412 prior authorization | Anthem Blue Cross Blue Shield of California
J1412, Injection, valoctocogene roxaparvovec-rvox, per mL, containing nominal 2 × 10^13 vector genomes (Roctavian), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- J1412
- Description
- Injection, valoctocogene roxaparvovec-rvox, per mL, containing nominal 2 × 10^13 vector genomes (Roctavian)
- Source
- California PPO Prior Authorization List, Pg 25 Original policy
Anthem Blue Cross Blue Shield of California prior authorization