Q2058 prior authorization | Blue Cross and Blue Shield of Montana
Q2058, Obecabtagene autoleucel, 10 BCBSMT up to 400 million cd19 car- positive viable t cells, including leukapheresis and dose preparation procedures, per infusion, is on the Blue Cross and Blue Shield of Montana prior authorization list. Not a coverage or referral decision.
- Code
- Q2058
- Description
- Obecabtagene autoleucel, 10 BCBSMT up to 400 million cd19 car- positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
- Source
- 2026 Specialty Drugs and Infusion Site of Care Prior Authorization Code List, Pg 26 Original policy