Prescription drug, brand name
Short Description: Prescription drug,brand name
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: January 1, 2001
Effective Date: January 1, 2001
Termination Date:
Short Description: Prescription drug,brand name
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: January 1, 2001
Effective Date: January 1, 2001
Termination Date: