J0641 (324456)    SELECTION (357.3)

Name Value
SELECTION ID J0641
SELECTION LIST CPT CODES
SELECTION GROUP INFUSION DRUGS
PRINT ORDER WITHIN GROUP 56
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   1
    J0641
  • SUBCOLUMN NUMBER:   3
    Levoleucovorin Calcium Inj 0.5mg