NPI: 1255445235 · IOLA, KS 66749 · Managed Care Organization Pharmacy · NPI assigned 08/18/2006
| Authorized Official | WALDEN, WILLIAM (SECRETARY) |
| NPI Enumeration Date | 08/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $31.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 12 | $31.62 |