Pertuzumab Injectable Medication Precertification Request

Procedures, programs and drugs that require …

For the following services, providers call 1-866-752-7021 for precertification and fax applicable request forms to 1-888-267-3277, with the following exceptions: Forprecertificationofpharmacy-covered specialty drugs (notedwith *) when the member is enrolled in a

  Programs, Drug, Procedures, That, Request, Precertification, Requires, Programs and drugs that require