J9245, Injection, melphalan hydrochloride, not otherwise specified, 50 mgHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
BCBSNJ-DRUGS-137-E12C5A79AF, Melphalan (Alkeran and Evomela)
NJ
OR
EVICORE-HPLAN-CIGNA-729A536F50C8, Q3 - 2026 Cigna MedOnc Master Drug List.pdf
EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-4BC80209CCC5, Q3 - 2026 Jefferson Health Plans MedOnc Master Drug List
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