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APPENDIX 506A: COVERED DME SUPPLIES

APPENDIX 506A: COVERED DME SUPPLIES

dhhr.wv.gov

of drug infusion catheter, per week (list drug separately) 4 per rolling month supplies include: heplock start kits, central line kits, insytes, etoh swabs, huber needles, sub-q- needle, sub-q kit non-reimbursable with: a4230 or a4231 a4222 infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)

  Drug, Infusion, Drug infusion

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