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Select Therapeutic Class ANTIDOTE THERAPEUTICS ANTIHISTAMINE DRUGS ANTI-INFECTIVE AGENTS ANTINEOPLASTIC AGENTS ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES AUTONOMIC DRUGS BLOOD DERIVATIVES BLOOD FORMATION, COAGULATION, THROMBOSIS CARDIOVASCULAR DRUGS CELLULAR AND GENE THERAPY CENTRAL NERVOUS SYSTEM AGENTS DEVICES DIAGNOSTIC AGENTS ELECTROLYTIC, CALORIC, AND WATER BALANCE ENZYMES EYE, EAR, NOSE AND THROAT (EENT) PREPS. GASTROINTESTINAL DRUGS HEAVY METAL ANTAGONISTS HORMONES AND SYNTHETIC SUBSTITUTES IMMUNOMODULATORY AGENTS (90:00) LOCAL ANESTHETICS MISCELLANEOUS MEDICAL DRUGS MISCELLANEOUS THERAPEUTIC AGENTS OXYTOCICS PHARMACEUTICAL AIDS RADIOACTIVE AGENTS RESPIRATORY TRACT AGENTS SKIN AND MUCOUS MEMBRANE AGENTS SMOOTH MUSCLE RELAXANTS VITAMINS

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Medicare

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Select Route Buccal Combination Dental Enteral Epidural External Extracorporeal Hemodialysis Implant In Vitro Inhalation Injection Intra-arterial Intra-Articular Intracavernosal Intradermal Intralesional Intramuscular Intraocular Intraperitoneal Intrapleural Intrathecal Intratracheal Intratympanic Intrauterine Intravenous Intravesical Intravitreal Iontophoresis Irrigation Mouth/Throat Nasal Ophthalmic Oral Otic Perfusion Rectal Subcutaneous Sublingual Topical Transdermal Translingual Urethral Vaginal Select Dose Form Aerosol Aerosol Breath Activated Aerosol Powder Aerosol Powder Breath Activated Aerosol Solution Aerosol, Powder Aerosol, Solution Aerosol† Auto-Injector Auto-Injector Kit Bar Beads Capsule Capsule Abuse-Deterrent Capsule Delayed Release Capsule Delayed Release Particles Capsule Delayed Release Sprinkle Capsule Delayed Release Therapy Pack Capsule ER 12 Hour Abuse-Deterrent Capsule ER 24 Hour Sprinkle Capsule ER 24 Hour Therapy Pack Capsule Extended Release Capsule Extended Release 12 Hour Capsule Extended Release 24 Hour Capsule Sprinkle Capsule Therapy Pack Cartridge Cartridge Kit Concentrate Cream Crystals Device Diagnostic Test Diagnostic Test† Diaphragm Disk Elixir Emulsion Enema Exhaler Powder Exhaler Suspension Film Flakes Fluid Extract Foam Gas Gel Gel Forming Solution Granules Granules Effervescent Gum Implant Inhaler Injectable Insert Intrauterine Device Jet-Injector Kit Leaves Liquid Liquid Extended Release Liquid Therapy Pack Liquid† Lollipop Lotion Lozenge Lozenge On A Handle Nebulization Solution Oil Ointment Packet Pad Paste Patch Patch 24 Hour Patch 24 Hr Patch 72 Hour Patch 72 Hr Patch Biweekly Patch Twice Weekly Patch Weekly Pellet Pen-Injector Pen-Injector Kit Powder Powder Effervescent Prefilled Syringe Prefilled Syringe Kit Pudding Ring Shampoo Sheet Solution Solution Auto-Injector Solution Cartridge Solution Jet-Injector Solution Pen-Injector Solution Prefilled Syringe Solution Reconstituted Solution Therapy Pack Spirit Stick Strip Suppository Suspension Suspension Extended Release Suspension Pen-Injector Suspension Prefilled Syringe Suspension Reconstituted Suspension Reconstituted ER Suspension Therapy Pack Swab Syrup Tablet Tablet Abuse-Deterrent Tablet Chewable Tablet Chewable Extended Release Tablet Delayed Release Tablet Delayed Release Dispersible Tablet Disintegrating Soluble Tablet Dispersible Tablet Effervescent Tablet ER 12 Hour Abuse-Deterrent Tablet ER 24 Hour Abuse-Deterrent Tablet ER 24 Hour Therapy Pack Tablet Extended Release Tablet Extended Release 12 Hour Tablet Extended Release 24 Hour Tablet Extended Release Abuse-Deterrent Tablet Extended Release Dispersible Tablet Extended Release Therapy Pack Tablet Soluble Tablet Sublingual Tablet Therapy Pack Tampon Tape Tar Therapy Pack Tincture Troche Wafer Wax