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PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective …

adjuvanted preservative free 0.5 mg dosage for intramuscular use 0 999: 01/01/2020 12/31/9999: 1 0.00: 90698 fee on file: diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenzae type b, and inactivated poliovirus vaccine, for intramuscular use 0 18: 08/01/2008 12/31/9999: 1 0.00: 90700 fee on file: diphtheria, tetanus ...

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