WALGREENS SPECIALTY PHARMACY LLC
NPI: 1942303110
· CANTON, MI 48188
· 332B00000X
$2.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
803 |
$1.50M |
| 2019 |
336 |
$643K |
| 2021 |
111 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Omalizumab injection |
581 |
549 |
$1.42M |
| J2315 |
Naltrexone, depot form |
533 |
511 |
$684K |
| 90378 |
|
67 |
44 |
$157K |
| J1726 |
Makena, 10 mg |
52 |
51 |
$143K |
| J7298 |
Mirena, 52 mg |
17 |
14 |
$11K |