J1830 prior authorization | Premera Blue Cross of Washington

J1830, Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self- administered), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: J1830
Description: Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self- administered)
Source: Clinical Review by Code List PBCWA, Pg 709 Original policy

Premera Blue Cross of Washington prior authorization

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