Drug Benefit List 2012

80:00 SERUMS, TOXOIDS, AND VACCINES

80:04.00 SERUMS

DOLICHOVESPULA ARENARIA VENOM PROTEIN

120mcg Injection

01948946 YELLOW HORNET VENOM PROTEIN ALK

DOLICHOVESPULA MACULATA VENOM PROTEIN EXTRACT

120mcg Injection

01949004 WHITE FACED HORNET VENOM ALK

HONEY BEE VENOM PROTEIN EXTRACT

1.1mg Injection

01948903 HONEY BEE VENOM ALK

120mcg Injection

01948911 HONEY BEE VENOM ALK

02226197 VENOMIL HONEY BEE VENOM HOL

550mcg Injection

02220075 HONEY BEE VENOM HOL

NON POLLEN

Injection

00299979 ALLERGENIC EXTRACT NON POLLENS ALK

00514713 ALLERGENIC EXTRACTS MSL

POLISTES SPP VENOM PROTEIN EXTRACT

1.1mg Injection

01948970 WASP VENOM PROTEIN ALK

POLLEN

Injection

00299987 ALLERGENIC EXTRACT POLLENS ALK

00464988 POLLINEX R BEN

POLLEN AND NON POLLEN

Injection

00648922 CENTER-AL ALK

VESPULA SPP VENOM PROTEIN EXTRACT

1.1mg Injection

01948954 YELLOW JACKET VENOM PROTEIN ALG

120mcg Injection

01948962 YELLOW JACKET VENOM PROTEIN ALK

WASP VENOM PROTEIN

120mcg Injection

02226219 VENOMIL WASP VENOM PROTEIN HOL

550mcg Injection

02220091 WASP VENOM PROTEIN HOL

WHITE FACED HORNET VENOM PROTEIN

120mcg Injection

02226235 VENOMIL WHITE FACED HORNET VENOM PROTEIN HOL

WHITE FACED HORNET VENOM PROTEIN, YELLOW HORNET VENOM PROTEIN, YELLOW JACKET VENOM PROTEIN

120mcg Injection

01948881 MIXED VESPID VENOM PROTEIN ALK

02226294 VENOMIL MIXED VESPID VENOM PROTEIN HOL

550mcg Injection

02221314 MIXED VESPID VENOM PROTEIN HOL

YELLOW HORNET VENOM PROTEIN

120mcg Injection

02226286 VENOMIL YELLOW JACKET VENOM PROTEIN HOL

120mcg/mL Injection

02226251 YELLOW JACKET HORNET VENOM PROTEIN BAY

550mcg Injection

02220083 YELLOW HORNET VENOM PROTEIN HOL

02220113 YELLOW JACKET VENOM PROTEIN BAY