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Article ID     Article Title       Effective Date     Revision Effective Date     End Date     Last Approval / Revision Date       A34398 Abarelix for the Treatment of Prostate Cancer Assigned ICD-9 codes ~ NCD   03/15/2005 01/16/2007 N/A 07/09/2009   A40662 Administration of Non-covered Drugs   07/01/2006 07/01/2006 N/A 07/09/2009   A35179 Allergen Immunotherapy   04/01/1995 01/01/2010 N/A 12/03/2009   A24646 Ambulatory Blood Pressure Monitoring Assigned ICD-9 codes ~ NCD   09/30/2004 01/16/2007 N/A 07/09/2009   A36472 Anodyne or MIRE   10/01/2005 07/01/2008 N/A 07/09/2009   A43575 Ascorbic Acid Injections   04/01/2007 01/01/2009 N/A 07/09/2009   A40807 Avastin Coverage for Intraocular use   07/01/2006 11/16/2009 N/A 11/18/2009   A40810 Blepharoplasty of Upper Lids   07/01/2006 07/01/2008 N/A 07/09/2009   A41675 Brain Natriuretic Peptide (BNP) Level   10/01/2006 07/01/2008 N/A 07/09/2009   A13899 Caine Drugs ~ Reminder   05/01/2001 01/11/2007 N/A 07/09/2009

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