| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
633 |
395 |
$1K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
410 |
387 |
$898.70 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,125 |
1,057 |
$726.48 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,938 |
915 |
$524.62 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
713 |
659 |
$67.80 |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
18 |
12 |
$0.00 |