Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Short Description: Flebogamma injection
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2008
Effective Date: January 1, 2009
Termination Date: