J0717 prior authorization | Anthem Blue Cross Blue Shield of Georgia
J0717, Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- J0717
- Description
- Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)
- Source
- Standard Local Prior Authorization Code List, Pg 121 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization