FORUM RX INC
NPI: 1891027769
· CHESTERFIELD, MO 63017
· Community/Retail Pharmacy
· NPI assigned 02/03/2010
Provider Details
| Authorized Official | VAYMAN, ALEX (VICE PRESIDENT) |
| NPI Enumeration Date | 02/03/2010 |
Related Entities
Other providers sharing the same authorized official: VAYMAN, ALEX
| Provider | City | State | Total Paid |
|---|
| JPRX INC |
SAPPINGTON |
MO |
$2K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
722 |
$2K |
| 2019 |
801 |
$2K |
| 2020 |
1,102 |
$3K |
| 2021 |
680 |
$2K |
| 2022 |
375 |
$1K |
| 2023 |
444 |
$1K |
| 2024 |
214 |
$643.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,206 |
2,172 |
$12K |
| A4259 |
Lancets, per box of 100 |
2,064 |
2,032 |
$953.70 |
| E0607 |
Home blood glucose monitor |
13 |
13 |
$168.77 |
| A4258 |
Spring-powered device for lancet, each |
55 |
55 |
$51.16 |