Description - DE Medical Assistance Program

C9360 SURGIMEND, NEONATAL 9 $0.00
C9361 NEUROMEND NERVE WRAP 9 $0.00
C9362 IMPLNT,BON VOID FILLER-STRIP 9 $0.00
C9363 INTEGRA MESHED BIL WOUND MAT 9 $0.00
C9364 PORCINE IMPLANT, PERMACOL 9 $0.00
C9399 UNCLASSIFIED DRUGS OR BIOLOG 9 $0.00
C9400 THALLOUS CHLORIDE, BRAND O $0.00
C9401 STRONTIUM-89 CHLORIDE,BRAND O $0.00
C9402 TH I131 SO IODIDE CAP, BRAND O $0.00
C9403 DX I131 SO IODIDE CAP, BRAND O $0.00
C9404 DX I131 SO IODIDE SOL, BRAND O $0.00
C9405 TH I131 SO IODIDE SOL, BRAND O $0.00
C9408 FDG, BRAND, PER DOSE 9 $0.00
C9410 DEXRAZOXANE HCL INJ, BRAND O $0.00
C9411 PAMIDRONATE DISODIUM, BRAND O $0.00
C9412 GANCICLOVIR IMPLANT, BRAND O $0.00
C9413 SODIUM HYALURONATE INJ, BRAND O $0.00
C9414 ETOPOSIDE ORAL, BRAND O $0.00
C9415 DOXORUBIC HCL CHEMO, BRAND O $0.00
C9416 BCG LIVE INTRAVESICAL, BRAND 9 $0.00
C9417 BLEOMYCIN SULFATE INJ, BRAND O $0.00
C9418 CISPLATIN INJ, BRAND O $0.00
C9419 INJ CLADRIBINE, BRAND O $0.00
C9420 CYCLOPHOSPHAMIDE INJ, BRAND O $0.00
C9421 CYCLOPHOSPHAMIDE LYO, BRAND O $0.00
C9422 CYTARABINE HCL INJ, BRAND O $0.00
C9423 DACARBAZINE INJ, BRAND O $0.00
C9424 DAUNORUBICIN, BRAND O $0.00
C9425 ETOPOSIDE INJ, BRAND O $0.00
C9426 FLOXURIDINE INJ, BRAND O $0.00
C9427 IFOSFOMIDE INJ, BRAND O $0.00
C9428 MESNA INJECTION, BRAND O $0.00
C9429 IDARUBICIN HCL INJ, BRAND O $0.00
C9430 LEUPROLIDE ACETATE INJ, BRAN O $0.00
C9431 PACLITAXEL INJ, BRAND O $0.00
C9432 MITOMYCIN INJ, BRAND O $0.00
C9433 THIOTEPA INJ, BRAND O $0.00
C9434 GALLIUM GA 67, BRAND 9 $0.00
C9435 GONADORELIN HYDROCH, BRAND O $0.00
C9436 AZATHIOPRINE PARENTERAL,BRND O $0.00
C9437 CARMUS BISCHL NITRO INJ O $0.00
C9438 CYCLOSPORINE ORAL, BRAND O $0.00
C9439 DIETHYLSTILBESTROL INJECTION O $0.00
C9500 PLATELETS, IRRAD, EA UNIT 9 $0.00
C9501 PLATELETS, PHERESIS, EA UNIT 9 $0.00
C9502 PLATELETS, PHER/IRRAD, EA UN 9 $0.00
C9503 FRESH FROZEN PLASMA, EA UNIT O $0.00
C9504 RBC, DEGLYCEROLIZED, EA UNIT 9 $0.00
C9505 RBC, IRRADIATED, EACH UNIT 9 $0.00