Q5152 prior authorization | Anthem Blue Cross Blue Shield of Colorado

Q5152: Injection, eculizumab-aeeb (Bkemv), biosimilar, 2 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: Q5152
Description: Injection, eculizumab-aeeb (Bkemv), biosimilar, 2 mg
Source: Colorado Prior Authorization List, Pg 175 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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