G9017 – Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)

Long description

Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)

Short description

Amantadine hcl 100mg oral

Pricing indicator

13 Priced by the Medicare contractor (carrier)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

O1E Other drugs

Added

December 1, 2004

Last change

January 1, 2020 – No change

Termination date

December 31, 2019

Nearby G codes

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• G9036 – Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)
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