J0752 prior authorization | Anthem Blue Cross Blue Shield of Georgia
J0752, Oral, lenacapavir, 300 mg, FDA-approved prescription, only for use as HIV pre-exposure prophylaxis (PrEP) (not for use as treatment for HIV), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- J0752
- Description
- Oral, lenacapavir, 300 mg, FDA-approved prescription, only for use as HIV pre-exposure prophylaxis (PrEP) (not for use as treatment for HIV)
- Source
- Standard Local Prior Authorization Code List, Pg 121 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization