J0640 (386958)    SELECTION (357.3)

Name Value
SELECTION ID J0640
SELECTION LIST CPT CODES
SELECTION GROUP OTHER DRUGS
PRINT ORDER WITHIN GROUP 31
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   1
    J0640
  • SUBCOLUMN NUMBER:   3
    Leucovorin Calcium Inj 50mg