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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | OCTANATE(R) Intra-Venus VIAL 1000 International unit | 701487 | 543054310 | 2,108.20 | |||
0 | OCTANATE(R) Intra-Venus VIAL 250 international unit | 701488 | 543054301 | 658.75 | |||
0 | OCTEGAM(R) Intra-Venus VIAL 2-5 gm/ 50-100 ml | 701489 | 542024310 | 2,062.50 | |||
0 | OCUGESIC(R) EYE DROPS 0.1% 5 Drop | 701490 | 545021256 | 13.3 | |||
0 | OCULOSAN(R) EYE DROPS 0.05% | 701491 | 12.05 | ||||
0 | OCUMOL(R) OPHTHALMIC DROPS 0.5% Box | 701492 | 550013315 | 24.4 | |||
0 | OEDEMAX(R) ORAL TABLET 40 mg | 701493 | 544071475 | 1.18 | |||
0 | OFTALMOLOSA CUSI DEICOL(R) TOPICAL OINTMENT 0.1% | 701494 | 3.85 | ||||
0 | OFTALMOLOSA CUSI DEXAMETHASONE(R) TOPICAL OINTMENT 0.05% | 701495 | 550013220 | 3.85 | |||
0 | OFTALMOLOSA CUSI GENTAMYCIN(R) EYE OINTMENT | 701496 | 7.35 | ||||
0.50% | |||||||
0 | OFTALMOLOSA CUSI GENTAMYCIN(R) TOPICAL | 701497 | 550013035 | 3.85 |
OCTANATE(R) Intra-Venus VIAL 1000 International unit
2,108.20
OCTANATE(R) Intra-Venus VIAL 250 international unit
658.75
OCTEGAM(R) Intra-Venus VIAL 2-5 gm/ 50-100 ml
2,062.50
OCUGESIC(R) EYE DROPS 0.1% 5 Drop
13.3
OCULOSAN(R) EYE DROPS 0.05%
12.05
OCUMOL(R) OPHTHALMIC DROPS 0.5% Box
24.4
OEDEMAX(R) ORAL TABLET 40 mg
1.18
OFTALMOLOSA CUSI DEICOL(R) TOPICAL OINTMENT 0.1%
3.85
OFTALMOLOSA CUSI DEXAMETHASONE(R) TOPICAL OINTMENT 0.05%
3.85
OFTALMOLOSA CUSI GENTAMYCIN(R) EYE OINTMENT
7.35
0.50%
OFTALMOLOSA CUSI GENTAMYCIN(R) TOPICAL
3.85
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