SAINT MARYS HOME INFUSION PROGRAM

Pharmacy — Home Infusion Therapy Pharmacy

Code: 3336H0001X

Pharmacy — Specialty Pharmacy

Code: 3336S0011X

Pharmacy

Code: 333600000X

Home Health

Code: 251E00000X

Home Infusion

Code: 251F00000X

Clinic/Center — Infusion Therapy

Code: 261QI0500X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Pharmacy — Community/Retail Pharmacy

Code: 3336C0003X