J0743 prior authorization | Anthem Blue Cross Blue Shield of Colorado

J0743, Cilastatin Sodium Injection, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: J0743
Description: Cilastatin Sodium Injection
Source: Colorado Prior Authorization List, Pg 155 Original policy

Anthem Blue Cross Blue Shield of Colorado policies that name J0743

The payer's medical and payment policies that list J0743, 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 ↗

Anthem Blue Cross Blue Shield of Colorado prior authorization

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