Georgia
Provider Communications
BCBSGa expands specialty pharmacy level of care (clinical site of care) drug list
BCBSGa’s level of care prior authorization clinical review of these specialty pharmacy drugs will be managed by AIM Specialty Health® (AIM), a separate company.
View the Level of Care (Clinical Site of Care) drug list and Level of Care (Clinical Site of Care) pre-service clinical review FAQs for more information.
Medical Policy or Clinical UM Guideline |
Drug |
HCPCS or CPT Code |
NDC Code
|
CG-DRUG-16 |
Fulphila™ |
Q5108 |
67457-0833-06 |
Featured In:
October 2018 BCBSGa Provider Newsletter