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HomeBlog | Fidelis Care

The Fidelis Care Blog


Fidelis Care Authorization Grids Effective June 1, 2026
4/29/2026 • Posted by Provider Relations in Provider News

The following section of the Fidelis Care authorization grids has been updated effective June 1, 2026.

           

The following code has updated been on the Medicaid, CHP, Essential Plan, and Ambetter Metal-Level Plans Authorization Grids and requires prior authorization:

Q5111  pegfilgrastim-cbqv (udenyca)

 

Visit:  Authorization Grids

 

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Fidelis Care Authorization Grids Effective June 1, 2026
4/29/2026 • Posted by Provider Relations

The following section of the Fidelis Care authorization grids has been updated effective June 1, 2026.

           

The following code has updated been on the Medicaid, CHP, Essential Plan, and Ambetter Metal-Level Plans Authorization Grids and requires prior authorization:

Q5111  pegfilgrastim-cbqv (udenyca)

 

Visit:  Authorization Grids