Self-Administered Drug (SAD) Exclusion List Report
Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.
Use the selection criteria below to enter the Date Criteria and CPT/HCPCS code and select a Contractor.
Select the Submit Button to return your results.
An asterisk (*) indicates a required field.
Select at least one contractor
Please Note: You may select more than one Contract Type or Contractor by holding the CTRL key and selecting with your mouse
Report Creation Date: