J0696 prior authorization | Anthem Blue Cross Blue Shield of Colorado

J0696, Ceftriaxone Sodium Injection, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: J0696
Description: Ceftriaxone Sodium Injection
Source: Colorado Prior Authorization List, Pg 155 Original policy

Anthem Blue Cross Blue Shield of Colorado policies that name J0696

The payer's medical and payment policies that list J0696, those listing the fewest codes first. A policy can also list a code it excludes.

CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme Disease · CG-MED-98View policy ↗
Frequency Editing - Professional · C-08012View PDF ↗

Anthem Blue Cross Blue Shield of Colorado prior authorization

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