J3031 prior authorization | Premera Blue Cross of Washington
J3031, Injection, fremanezumab-vfrm, 1 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
- J3031
- Description
- Injection, fremanezumab-vfrm, 1 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 713 Original policy