| Code | Description | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
$111K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
$93K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
$27K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
$12K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
$11K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
$8K |