Q5154 prior authorization | Anthem Blue Cross Blue Shield of Colorado

Q5154: Injection, omalizumab-igec (Omlyclo), biosimilar, 5 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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We'll verify benefits and check if CPT Code Q5154 is identified as requiring a prior authorization

Code: Q5154
Description: Injection, omalizumab-igec (Omlyclo), biosimilar, 5 mg
Source: Colorado Prior Authorization List, Pg 175 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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