Golden Six/QL/BvsD/MA-Only/Exclusions/ESRD

Golden Six/QL/BvsD/MA-Only/Exclusions/ESRD Bingo Card
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This bingo card has a free space and 24 words: Golden Six, Continuation of therapy, Samples were given or the patient picked up a transitional supply, BvsD for oral chemo, NF, and QL, UHCMR, Titration purposes, dose is not commercially available, or dose alternating schedule, Close the GPI, Triptans, Oral Fentanyl products, Opioids, Cyclophosphamide, Anti-emetics, inhalation solutions, B vs D Grid, No, K, Perform a name search in AS400 to see if the member has a part "B" plan, Carrier code: MPDOVA, Account code begins with an "O", Plan includes "MAO", Preferred product schedule is blank, BvsD, Perform a name search in AS400 to see if the member has a part "D" plan, Cialis 2.5mg and 5mg with a diagnosis of BPH, 5 and 6, Fertility agents, OTCs, Cosmetic agents, dietary/nutritional supplements, Excluded from part B and part D, Prospective Payment System bundle, Lidocaine/Prilocaine cream, calcitriol, and levocarnitine, ESRD Negative Authorization and Yes.

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