35 Information technology (IT) services and IT-enabled business processing services (BPO), namely, software design, development and maintenance, IT infrastructure management services, transaction processing, call center services, support center services, program management, back office services, administrative processes, actuarial, underwriting and other healthcare product design processes, remote monitoring of medical data, training, consultancy services, IT-enabled data management services, and other activities necessary or incidental to such IT services and business processing services; Health care utilization and review services; Pharmaceutical cost management services and drug utilization review services; Managed care services, namely, electronic processing of health care information; Medical referrals