This information is intended for U.S. healthcare professionals and/or healthcare professionals involved in healthcare reimbursement. Bristol Myers Squibb Access Support®

Payer Details

J Code:
(Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg)
[Payer Name – Plan Type]
Payer Links
Payer Contact Information Phone Number: Not Specified
Fax Number: Not Specified
Utilization Criteria
Prior Authorization/
Not specified
Prior Authorization/
Pre-Certification Duration
Not specified
Quantity Limits Not specified
Documentation Requirements Not specified
Other Information
Diagnostic Information Not specified
Coverage may vary based upon a patient's specific plan benefits. You may also refer to Bristol Myers Squibb Access Support at 1-800-861-0048 for a benefits investigation for your specific patient.
Last Review Date: Not Specified
Viewing Details For
Drug: [Drug Name]
Payer: [Payer Name – Plan Type]
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