OU MEDICINE INC.
NPI: 1851602866
· OKLAHOMA CITY, OK 73104
· Community/Retail Pharmacy
· NPI assigned 06/24/2010
Provider Details
| Authorized Official | PETTY, LAURA (DIRECTOR OF RETAIL PHARMACY) |
| NPI Enumeration Date | 06/24/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
57 |
$112.48 |
| 2024 |
586 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
102 |
78 |
$14K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
230 |
216 |
$619.50 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
311 |
201 |
$518.11 |