| Document Date: 2014-11-24 14:27:37
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Company Preventive Services / / MedicalCondition Hepatitis A / HIV / lymphedema / Mumps / Rotavirus Vaccine Rubella Virus Vaccine Tetanus Toxoid Tetanus / Shingles / Diphtheria Toxoid Diphtheria / HPV / Measles / Chicken Pox / Diphtheria / Congenital Hypothyroidism / Tetanus / B Hepatitis B / Hepatitis B / covered influenza / Bacteriuria / Rubella / Hemoglobin Screening Hemoglobinopathies / Tobacco-Caused Disease / Tetanus (DT) Diphtheria / PKU / chronic diseases / Routine Office Visit Sexually Transmitted Infection / high blood pressure / Phenylketonuria / Vaccine Zoster / Varicella / breast cancer / lifetime Sexually Transmitted Infections / / MedicalTreatment immunization / immunizations / Active Immunizations / Active Immunization / Counseling / physical therapy / mastectomy / contraceptive Methods / / Organization FDA / / Person Once / Acellular Pertussis / / Position pharmacist / physician / Pediatrician / group benefit administrator / / Product Folic Acid / vitamin D / / ProvinceOrState Alabama / Oregon / / Technology CVD / CAD / / URL www.bcbsal.com/preventiveservices / www.cdc.gov/vaccines/recs/schedules / /
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An Independent Licensee of the Blue Cross and Blue Shield Association The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue Shield of Alabama