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Less than 30 ng/mL 30 ng/mL or more Less than 9. 8 mg/dL 9. 8 mg/dL or more Vitamin D2 Cholecalciferol Vitamin D3 Q9. If Other please indicate the medication. Q10. For CONTINUING THERAPY is the patient s erum total 25-hydroxyvitamin D level between 30 and 100 ng/mL a serum corrected total calcium below 9. Is this request for initial or continuing therapy Initial Continuing Therapy Q2. For continuing therapy please indicate the start date MM/YY Q3. Please note any information left blank or...
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What is effective date 71717?
Effective date 71717 refers to July 17, 2017.
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The purpose of effective date 71717 is to ensure compliance with regulations and provide necessary information.
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