
| Name | Value | 
|---|---|
| SERVICE REASON CODE | C64901 | 
| BRIEF DESCRIPTION | MEDICATED SPONGE DOSAGE FORM | 
| CODE TYPE ABBREVIATION | NCI | 
| CODE DESCRIPTION | NCIt | 
| FULL DESCRIPTION | A solid composed of a porous, interlacing, absorbent, usually shape retaining material that contains active and/or inert ingredient(s).  | 
| NCIT SUBTYPE | StrengthForm |