Lidocaine/Prilocainecream, calcitriol, andlevocarnitineBvsDGoldenSixCialis 2.5mgand 5mg witha diagnosisof BPH5 and6ProspectivePaymentSystembundleExcludedfrom partB and partDB vs DGridCarrier code:MPDOVA, Accountcode begins with an"O", Plan includes"MAO", Preferredproduct schedule isblankSamples weregiven or thepatient pickedup a transitionalsupplyPerform aname search inAS400 to see ifthe memberhas a part "B"planYesBvsD fororalchemo, NF,and QLFertility agents,OTCs, Cosmeticagents,dietary/nutritionalsupplementsUHCMRTitration purposes,dose is notcommerciallyavailable, or dosealternatingscheduleKClosethe GPIESRDNegativeAuthorizationCyclophosphamide,Anti-emetics,inhalation solutionsPerform aname search inAS400 to see ifthe memberhas a part "D"planNoTriptans,OralFentanylproducts,OpioidsContinuationof therapyLidocaine/Prilocainecream, calcitriol, andlevocarnitineBvsDGoldenSixCialis 2.5mgand 5mg witha diagnosisof BPH5 and6ProspectivePaymentSystembundleExcludedfrom partB and partDB vs DGridCarrier code:MPDOVA, Accountcode begins with an"O", Plan includes"MAO", Preferredproduct schedule isblankSamples weregiven or thepatient pickedup a transitionalsupplyPerform aname search inAS400 to see ifthe memberhas a part "B"planYesBvsD fororalchemo, NF,and QLFertility agents,OTCs, Cosmeticagents,dietary/nutritionalsupplementsUHCMRTitration purposes,dose is notcommerciallyavailable, or dosealternatingscheduleKClosethe GPIESRDNegativeAuthorizationCyclophosphamide,Anti-emetics,inhalation solutionsPerform aname search inAS400 to see ifthe memberhas a part "D"planNoTriptans,OralFentanylproducts,OpioidsContinuationof therapy

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

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Lidocaine/Prilocaine cream, calcitriol, and levocarnitine
  2. BvsD
  3. Golden Six
  4. Cialis 2.5mg and 5mg with a diagnosis of BPH
  5. 5 and 6
  6. Prospective Payment System bundle
  7. Excluded from part B and part D
  8. B vs D Grid
  9. Carrier code: MPDOVA, Account code begins with an "O", Plan includes "MAO", Preferred product schedule is blank
  10. Samples were given or the patient picked up a transitional supply
  11. Perform a name search in AS400 to see if the member has a part "B" plan
  12. Yes
  13. BvsD for oral chemo, NF, and QL
  14. Fertility agents, OTCs, Cosmetic agents, dietary/nutritional supplements
  15. UHCMR
  16. Titration purposes, dose is not commercially available, or dose alternating schedule
  17. K
  18. Close the GPI
  19. ESRD Negative Authorization
  20. Cyclophosphamide, Anti-emetics, inhalation solutions
  21. Perform a name search in AS400 to see if the member has a part "D" plan
  22. No
  23. Triptans, Oral Fentanyl products, Opioids
  24. Continuation of therapy