0518U prior authorization | Blue Shield of California Promise Health Plan
0518U, Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, lc- ms/ms, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non-prescribed medications, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.
- Code
- 0518U
- Description
- Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, lc- ms/ms, plasma, qualitative and quantitative therapeutic minimally effective range of prescribed and non-prescribed medications
- Source
- Medi-Cal Prior Authorization List, Pg 17 Original policy
Blue Shield of California Promise Health Plan prior authorization