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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | NOVO-CAPTORIL(R) ORAL TABLET 12.5 mg | 701466 | 544101738 | 0.58 | |||
0 | NOVO-CAPTORIL(R) ORAL TABLET 25 mg | 701467 | 544101738 | 0.91 | |||
0 | NOVO-CAPTORIL(R) ORAL TABLET 50 mg | 701468 | 544101738 | 1.46 | |||
0 | NOVO-DIFENAC(R) ORAL TABLET 25 mg | 701469 | 545021250 | 13.3 | |||
0 | NOVO-DIFENAC(R) ORAL TABLET 50 mg | 701470 | 545021250 | 1.48 | |||
0 | NOVO-DILTAZEM(R) ORAL TABLET 30 mg | 701471 | 544031110 | 0.39 | |||
0 | NOVO-DILTAZEM(R) ORAL TABLET 60 mg | 701472 | 544031110 | 0.56 | |||
0 | NOVO-DOXYLIN(R) ORAL CAPSUL 100 mg | 701473 | 1.44 | ||||
0 | NOVOMIX 30 SUBCUTANEOUS INJECTION 30 % + 70 % | 701474 | 547064605 | 37.8 | |||
(100 Unit/3 ML | |||||||
0 | NOVO-NIFEDIN(R) ORAL CAPSUL 10 mg | 701475 | 544031101 | 0.82 | |||
0 | NOVO-PIROCAM(R) ORAL CAPSUL 10 mg | 701476 | 1.04 |
NOVO-CAPTORIL(R) ORAL TABLET 12.5 mg
0.58
NOVO-CAPTORIL(R) ORAL TABLET 25 mg
0.91
NOVO-CAPTORIL(R) ORAL TABLET 50 mg
1.46
NOVO-DIFENAC(R) ORAL TABLET 25 mg
13.3
NOVO-DIFENAC(R) ORAL TABLET 50 mg
1.48
NOVO-DILTAZEM(R) ORAL TABLET 30 mg
0.39
NOVO-DILTAZEM(R) ORAL TABLET 60 mg
0.56
NOVO-DOXYLIN(R) ORAL CAPSUL 100 mg
1.44
NOVOMIX 30 SUBCUTANEOUS INJECTION 30 % + 70 %
37.8
(100 Unit/3 ML
NOVO-NIFEDIN(R) ORAL CAPSUL 10 mg
0.82
NOVO-PIROCAM(R) ORAL CAPSUL 10 mg
1.04
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