C9149 — Injection, teplizumab-mzwv, 5 mcg
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
4 Active Policies
BCBSIL-RX501.150 — Teplizumab-mzwv
BCBSMT-RX501.150 — Teplizumab-mzwv
BCBSNM-RX501.150 — Teplizumab-mzwv
BCBSOK-RX501.150 — Teplizumab-mzwv
Related Codes
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