Injection, acyclovir, 5 mg
Short Description: Acyclovir injection
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2006
Effective Date: January 1, 2006
Termination Date:
Short Description: Acyclovir injection
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2006
Effective Date: January 1, 2006
Termination Date: