Georgia
Provider Communications
BCBSGa expands specialty pharmacy prior authorization list
BCBSGa’s prior authorization clinical review of these specialty pharmacy drugs will be managed by AIM Specialty Health® (AIM), a separate company.
Medical Policy or Clinical Guideline |
Code |
Drug |
Comments |
DRUG.00098
|
C9031 A9699 J9999 |
Lutathera®
|
New Policy
|
DRUG.00111
|
J3590
|
IlumyaTM
|
New Drug to Existing Policy
|
CG-DRUG-05
|
Q5105 Q5106
|
Retacrit®
|
New Drug to Existing Guideline |
CG-DRUG-16
|
J3590
|
FulphilaTM
|
New Drug to Existing Guideline |
Featured In:
August 2018 BCBSGa Provider Newsletter