Edetate disodium, per 150 mg
Short Description: Edetate disodium per 150 mg
Coverage Code: Non-covered by Medicare
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date:
Short Description: Edetate disodium per 150 mg
Coverage Code: Non-covered by Medicare
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date: