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Get Zynex Medical Prescription & Letter Of Medical Necessity 2021-2024

When applicable DX Code(s) . Zynex E-Wave (NMES Only) + Monthly Supplies Length of Need: Life-time . 3-18 Months (if unchecked Life-time) Substitution for this device is NOT ALLOWED without my written approval Spinal Orthosis (Fill Out Patient Equipment Protocol on Back of Patient Handout) Horizon Lumbosacral Orthosis (Prefabricated) (Purchase Only) DX Code(s) . . The Horizon Lumbosacral Orthosis is medically necessary and prescrib.

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