0434U prior authorization | Blue Cross and Blue Shield of Montana
0434U, Drug Metabolism (Adverse Drug Reactions And Drug Response) Genomic Analysis Panel Variant Analysis Of 25 Genes With Reported Phenotypes, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 0434U
- Description
- Drug Metabolism (Adverse Drug Reactions And Drug Response) Genomic Analysis Panel Variant Analysis Of 25 Genes With Reported Phenotypes
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 217 Original policy