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365 days
Category IV Infusion
Subcategory IV Iron Therapy
Voucher Type Single
Validity 365 days
Iron Infusion Therapy*
IV Infusion
Tier I
Terms & Conditions

This Voucher Includes One (1) Administration Of Venofer Iron (Drug) Up To 100Mg Or Ferrlecit Iron (Drug) Up To 62.5Mg Or Other Equivalent Per Single Session Up To 1 Hour In The ordering Provider's Office Setting Only Within THP's Network. It Is An Add On Service, Can Also Be Purchased As A Stand-Alone. A Valid Prescription Is Required By A Licensed Physician. This Infusion May Require A Re-evaluation Or Consultation From The Servicing Physician Before Redeeming. Any procedure being upgraded all terms & condition to the upgraded procedure do apply. If the value of the voucher is lower than the Tier purchased you are accepting the lesser value & lose any remaining balance.

*The CPT code,(s) provided are property of AMA and are to be used for reference purpose only. They may change at any time without notice and THP is not reponsible for accuracy. Multiple CPT codes listed may be irrelevant in some or all circumstances.

Exclusions And Special Instructions

Excludes All Other Infusions, Injections, And Other IV Therapies. May Require Recent Blood Test Results. Must Check Availability And Follow Scheduling Requirements Of A Participating THP Provider/Facility Before Purchase. TERMS USED BUT NOT DEFINED HEREIN SHALL HAVE THE RESPECTIVE MEANINGS GIVEN TO THEM IN THP'S TERMS & CONDITIONS FOUND ON

Related CPT Code
J1756, 96365, 96374, J2916, J7040, J7050

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