7. Is the provider specialty 18 Ophthalmology or (KY) 41 Optometrist?
8. Does the documentation support or of the following diagnoses are present?
Yes No
9. Does the dosage and administration meet FDA approved guidelines of each 2mg injection?
Yes No
10. Is the frequency every 28 days(supported by documentation of last dose administered) or documentation to support a change in frequency?
Yes No
