| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
2,589 |
1,469 |
$289K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,883 |
1,737 |
$58K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,553 |
1,383 |
$21K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,971 |
1,763 |
$20K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
4,147 |
3,849 |
$13K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
5,349 |
3,656 |
$11K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,972 |
1,752 |
$492.70 |