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Tier 2 covered drugs

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10862

Medicamentos cubiertos del Nivel 2

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10862

Tier 3 covered drugs

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10863

Medicamentos cubiertos del Nivel 3

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10863

CT scan, positron emission tomography and nuclear cardiac imaging tests

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10864

Tomografías computarizadas, tomografías por emisión de positrones y exámenes de diagnóstico por imágenes de medicina nuclear cardíaca

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10864

Other diagnostic tests and preoperative tests

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10865

Otras pruebas de diagnóstico y prequirúrgicas

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10865

Diabetes management services (first two visits per calendar year)

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10866

Servicios de control de la diabetes (primeras dos consultas por año calendario)

Member for

7 years 10 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

10866