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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | NOVAGEL(R) ORAL TABLET mg | 701456 | 0.12 | ||||
0 | NOVANTRONE(R) Intra-Venus VIAL 2 mg/ml | 701457 | 541014069 | 527.3 | |||
0 | NOVASEN EC(R) ORAL CAPSUL 250 mg | 701458 | 0.24 | ||||
0 | NOVASEN EC(R) ORAL TABLET 325 mg | 701459 | 0.24 | ||||
0 | NOVASEN EC(R) ORAL TABLET 650 mg | 701460 | 0.4 | ||||
0 | NOVESINE(R) EYE DROPS 4% | 701461 | 10.9 | ||||
0 | NOVO RAPID SUBCUTANEOUS INJECTION 100 unit / 3 | 701462 | 547064593 | 33.72 | |||
ml pen 5 Box | |||||||
0 | NOVO RAPID SUBCUTANEOUS INJECTION 100 Unit/vial | 701463 | 547064596 | 37.8 | |||
1 | |||||||
0 | NOVO-ATENOL(R) ORAL TABLET 100 mg | 701464 | 1.42 | ||||
0 | NOVO-ATENOL(R) ORAL TABLET 50 mg | 701465 | 0.87 |
NOVAGEL(R) ORAL TABLET mg
0.12
NOVANTRONE(R) Intra-Venus VIAL 2 mg/ml
527.3
NOVASEN EC(R) ORAL CAPSUL 250 mg
0.24
NOVASEN EC(R) ORAL TABLET 325 mg
0.24
NOVASEN EC(R) ORAL TABLET 650 mg
0.4
NOVESINE(R) EYE DROPS 4%
10.9
NOVO RAPID SUBCUTANEOUS INJECTION 100 unit / 3
33.72
ml pen 5 Box
NOVO RAPID SUBCUTANEOUS INJECTION 100 Unit/vial
37.8
1
NOVO-ATENOL(R) ORAL TABLET 100 mg
1.42
NOVO-ATENOL(R) ORAL TABLET 50 mg
0.87
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