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J3105

Ambulance Services
Home Health Care
Medical Care Outpatient Visits
Radiation Therapy and Chemotherapy
TERBUTALINE SULFATE INJ
TERBUTALINE SULFATE INJ

J3243

Home Health Care
Medical Care Outpatient Visits
Radiation Therapy and Chemotherapy
TIGECYCLINE INJECTION
TIGECYCLINE INJECTION

J3250

Home Health Care
Medical Care Outpatient Visits
Radiation Therapy and Chemotherapy
TRIMETHOBENZAMIDE HCL INJ
TRIMETHOBENZAMIDE HCL INJ

J3471

Home Health Care
Medical Care Outpatient Visits
OVINE, UP TO 999 USP UNITS
OVINE, UP TO 999 USP UNITS

J3486

Home Health Care
Medical Care Outpatient Visits
ZIPRASIDONE MESYLATE
ZIPRASIDONE MESYLATE

J7192

Home Health Care
Medical Care Outpatient Visits
Prescription Drugs
FACTOR VIII RECOMBINANT NOS
FACTOR VIII RECOMBINANT NOS

J7500

Home Health Care
Prescription Drugs
AZATHIOPRINE ORAL 50MG
AZATHIOPRINE ORAL 50MG

J7515

Prescription Drugs
CYCLOSPORINE ORAL 25 MG
CYCLOSPORINE ORAL 25 MG

J7605

Medical Care Outpatient Visits
Prescription Drugs
ARFORMOTEROL NON-COMP UNIT
ARFORMOTEROL NON-COMP UNIT

J7606

Home Health Care
Medical Care Outpatient Visits
Radiation Therapy and Chemotherapy
FORMOTEROL FUMARATE, INH
FORMOTEROL FUMARATE, INH

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