Q5108 prior authorization | Anthem Blue Cross Blue Shield of California
Q5108: Pegfilgrastim-jmdb (Fulphila). 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.
- Code
- Q5108
- Description
- Pegfilgrastim-jmdb (Fulphila)
- Source
- California PPO Prior Authorization List, Pg 191 Original policy
Anthem Blue Cross Blue Shield of California policies that name Q5108
The payer's medical and payment policies that list Q5108, those listing the fewest codes first. A policy can also list a code it excludes.
Anthem Blue Cross Blue Shield of California prior authorization