J9256 prior authorization | Anthem Blue Cross Blue Shield of California
J9256: Nipocalimab (Imaavy). 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
- J9256
- Description
- Nipocalimab (Imaavy)
- Source
- California PPO Prior Authorization List, Pg 186 Original policy
Anthem Blue Cross Blue Shield of California prior authorization