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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | NO-URIC(R) ORAL TABLET 100 mg 50 Tab | 701452 | 545021300 | 0.33 | |||
0 | NO-URIC(R) Oral Tablet 300 mg ( Scored ) 20 ???? | 701453 | 545021305 | 0.4 | |||
0 | MONOPARIN(R) Intra-Venus AMPOULE 5000 International- | 701359 | 2.9 | ||||
Unit | |||||||
0 | MONOTARD(R) Intra-Venus VIAL 100 I.U./10 | 701360 | 53.55 | ||||
0 | MONOZIDE(R) ORAL TABLET 12.5 mg 30 ???? | 701361 | 544071450 | 0.28 | |||
0 | MONOZIDE(R) ORAL TABLET 25 mg scored 30 ???? | 701362 | 544071450 | 0.47 | |||
0 | MORUMAN BERNA(R) Intra-Venus VIAL | 701363 | 13.42 | ||||
0 | MOTILIUM(R) ORAL SUSPENSION 1 MG / ML ( 200 ML ) 1 | 701364 | 546052404 | 20 | |||
0 | MOTILIUM(R) ORAL TABLET 10 mg 30 Box | 701365 | 546051402 | 0.57 | |||
0 | MOXAL ORAL SUSPENSION 405+100 mg/5mL | 701366 | 546012001 | 5.65 | |||
0 | MOXAL ORAL TABLET 405+100 mg Tab | 701367 | 546014610 | 0.24 |
NO-URIC(R) ORAL TABLET 100 mg 50 Tab
0.33
NO-URIC(R) Oral Tablet 300 mg ( Scored ) 20 ????
0.4
MONOPARIN(R) Intra-Venus AMPOULE 5000 International-
2.9
Unit
MONOTARD(R) Intra-Venus VIAL 100 I.U./10
53.55
MONOZIDE(R) ORAL TABLET 12.5 mg 30 ????
0.28
MONOZIDE(R) ORAL TABLET 25 mg scored 30 ????
0.47
MORUMAN BERNA(R) Intra-Venus VIAL
13.42
MOTILIUM(R) ORAL SUSPENSION 1 MG / ML ( 200 ML ) 1
20
MOTILIUM(R) ORAL TABLET 10 mg 30 Box
0.57
MOXAL ORAL SUSPENSION 405+100 mg/5mL
5.65
MOXAL ORAL TABLET 405+100 mg Tab
0.24
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