Enteral formulas, low protein foods and blood sugar testing materials Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10306
Vision exams Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10307
Vision supplies Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10308
Frames Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10309
Single vision lenses Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10310
Bifocal lenses Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10311
Trifocal lenses Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10312
Contact lenses Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10313
Lenticular lenses Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10314
Vision supplies prior to January 1, 2004 (Davis Vision) Member for 7 years 4 months Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10 Service Benefit Category Id 10315