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Q5147 prior authorization | Anthem Blue Cross Blue Shield of California

Q5147: Aflibercept-ayyh (Pavblu). 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
Q5147
Description
Aflibercept-ayyh (Pavblu)
Source
California PPO Prior Authorization List, Pg 187 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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