Plan details: Rx :720000000349 (5)

Plan details for Gillette Children's Specialty Healthcare DBA Gillette Children's Specialty Healthcare:Blue Performance PPO w/ Rx :720000000349 (ID: 363379150)
Appears in: 2026-082026-072026-062026-052026-02
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2026-08-01ALLOWED_AMOUNT2026-07-16_000000349_allowed-amount11221 Bytes
2026-07-01ALLOWED_AMOUNT2026-06-16_000000349_allowed-amount11220 Bytes
2026-06-01ALLOWED_AMOUNT2026-05-16_000000349_allowed-amount11221 Bytes
2026-05-01ALLOWED_AMOUNT2026-04-16_000000349_allowed-amount11221 Bytes
2026-02-01ALLOWED_AMOUNT2026-01-16_000000349_allowed-amount11220 Bytes
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