Drugs: Contract Drugs List Part 1 – Prescription Drugs (S ...

Sodium chloride/normal saline flush syringes are classified as medical supplies. Refer to the Medical Supplies section of the provider manual for more information. Vial 0.9 % 10 ml ml. ... (Sanofi-Aventis U.S. LLC) for the 55 mcg/actuation, 16.5 gm nasal spray only and to claims submitted with dates of service from June 1, 1996, through January ... ................
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