Dextroamphetamine sulfate, 5 mg
Short Description: Dextroamphetamine
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: April 1, 2004
Effective Date: April 1, 2004
Termination Date:
Short Description: Dextroamphetamine
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: April 1, 2004
Effective Date: April 1, 2004
Termination Date: