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Medical Injectable Drug Forms

  • Medical Specialty Drug Authorization
  • Outpatient Chemotherapy Aloxi (J1469)
  • Outpatient Chemotherapy
  • Outpatient Chemotherapy Granulocyte Colony-Stimulating Factors
  • Outpatient Medical Injectable Avastin
  • Outpatient Medical Injectable Botulinum Toxin
  • Outpatient Medical Injectable Herceptin
  • Outpatient Medical Injectable Infliximab
  • Outpatient Medical Injectable Intra-Articular Hyaluronan Injections
  • Outpatient Medical Injectable Intravitreal Injection
  • Outpatient Medical Injectable Monoclonal Antibodies For The Treatment Of Asthma And Eosinophilic Conditions
  • Outpatient Medical Injectable Prolia Authorization
  • Outpatient Medical Injectable Rituxan
  • Outpatient Medical Injectable Synagis
Last updated on 12/30/2022 3:43:10 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.

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