| Document Date: 2013-10-15 11:40:14
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Company PET / Express Scripts / / Currency USD / / Event FDA Phase / / Facility Network Retail pharmacy / Non-Walgreens Retail Pharmacy / Retail Pharmacy / / IndustryTerm Rehabilitation services / outpatient services / outpatient retail/mail order prescription drug expenses / preventive services / Substance use disorder inpatient services / health outpatient services / member services / term in-network / state insurance department / medical transportation / inpatient services / Substance use disorder outpatient services / room services / Durable medical equipment / excluded services / covered services / health inpatient services / / MedicalCondition Substance use disorder / injury / Counter (OTC) allergy / illness / Infertility / diabetes / allergy / pulmonary rehab / / MedicalTreatment immunization / radiation therapy / rolfing / spinal manipulation / chiropractic / chemotherapy / acupuncture / surgical treatment / surgery / Cosmetic surgery / massage therapy / speech therapy / Bariatric Surgery / Insulin pump / / Organization U.S. Department of Health and Human Services / Employee Benefits Security Administration / FDA / U.S. Department of Labor / / / Position Physician /surgeon / registered dietitian / nutritionist / Physician / Medical Plan Claims Administrator / / Product Outpatient Drug / Prilosec OTC / brand drug / / ProvinceOrState New Mexico / New / / Technology radiation / x-ray / Ultrasound / chemotherapy / / URL www.nmpsia.com_or / www.dol.gov/ebsa_ / www.bcbsnm.com_ / www.cciio.cms.gov_ / www.express-scripts.com_ / /
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NMPSIA: _High Option Plan (BCBS of NM network) Coverage Period: – Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: PPO NMPSIA: