Q5108 prior authorization | Anthem Blue Cross Blue Shield of Georgia

Q5108, Injection, pegfilgrastim-jmdb (Fulphila), biosimilar, 0.5 mg, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: Q5108
Description: Injection, pegfilgrastim-jmdb (Fulphila), biosimilar, 0.5 mg
Source: Standard Local Prior Authorization Code List, Pg 153 Original policy

Anthem Blue Cross Blue Shield of Georgia policies that name Q5108

The payer's medical and payment policies that list Q5108, those listing the fewest codes first. A policy can also list a code it excludes.

Medicare Advantage Precertification Requirements – 2019View PDF ↗

Anthem Blue Cross Blue Shield of Georgia prior authorization

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