Injection, immune globulin (hizentra), 100 mg
Short Description: Hizentra injection
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2011
Effective Date: January 1, 2011
Termination Date:
Short Description: Hizentra injection
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2011
Effective Date: January 1, 2011
Termination Date: