| Durable Medical Equipment & Medical Supplies | 332B00000X | |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment | 332BC3200X | |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition | 332BP3500X | |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies | 332BX2000X | |
| Pharmacy | 333600000X | |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy | 3336C0003X | |
| Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy | 3336H0001X | |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy | 3336L0003X | |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy | 3336M0002X | |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy | 3336S0011X | Primary |