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Q5134 prior authorization | Anthem Blue Cross Blue Shield of California

Q5134: Natalizumab-sztn (Tyruko). 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
Q5134
Description
Natalizumab-sztn (Tyruko)
Source
California PPO Prior Authorization List, Pg 187 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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