J9042 prior authorization | Anthem Blue Cross Blue Shield of Colorado
J9042: Injection, brentuximab vedotin, 1 mg. Imported Anthem Blue Cross Blue Shield of Colorado source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.
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- Code
- J9042
- Description
- Injection, brentuximab vedotin, 1 mg
- Source
- Colorado Prior Authorization List, Pg 160 Original policy
Anthem Blue Cross Blue Shield of Colorado policies that name J9042
The payer's medical and payment policies that list J9042, those listing the fewest codes first. A policy can also list a code it excludes.
Anthem Blue Cross Blue Shield of Colorado prior authorization