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Try CasePilot| Short Descr | Injection, obinutuzumab | Related Drugs | Gazyva | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | BETOS | O1D – Chemotherapy | TOS Code(s) | 9 – Other medical items or services | Added Date | 4/1/2014 | Termination Date | 12/31/2014 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2015-01-01 | Deleted | Deleted |
| 2014-04-01 | Added | Added effective 4/1/2014 |
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