| Name | Value |
|---|---|
| SERVICE REASON CODE | C78747 |
| BRIEF DESCRIPTION | 28 DAY TABLET DOSAGE FORM |
| CODE TYPE ABBREVIATION | NCI |
| CODE DESCRIPTION | NCIt |
| FULL DESCRIPTION | A drug pack that contains a 28 day supply of tablets, composed of a mixture of active and/or inert ingredient(s) that are pressed or compacted into a solid round, square or oval shaped form. |
| NCIT SUBTYPE | StrengthForm |