G9313

Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason

Short Description: Amoxic not presc as 1st line

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2014

Effective Date: January 1, 2018

Termination Date:

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