| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
1,458 |
1,048 |
$77K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
3,470 |
3,080 |
$68K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
4,511 |
3,724 |
$17K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,501 |
5,010 |
$9K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,685 |
4,692 |
$6K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
414 |
365 |
$988.19 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,530 |
1,400 |
$318.25 |