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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MINIMS PHENYLEPHRINE(R) EYE DROPS 2.5% | 701331 | 3 | ||||
0 | MINIMS SODIUM CHLORIDE( R) EYE DROPS 0.9% | 701332 | 1.23 | ||||
0 | MINIMS TROPICAMIDE(R) EYE DROPS 0.5% | 701333 | 3 | ||||
0 | MINIMS TROPICAMIDE(R) EYE DROPS 1% | 701334 | 550013420 | 3 | |||
0 | MINIRIN(R) ORAL TABLET 60 mcg ( Melt ) 30 ???? | 701335 | 547033269 | 3.89 | |||
0 | MINITEN(R) ORAL TABLET 25 mg | 701336 | 544101738 | 0.68 | |||
0 | MINITEN(R) ORAL TABLET 50 mg | 701337 | 544101738 | 1.14 | |||
0 | MINOCIN(R) ORAL CAPSUL 100 mg | 701338 | 540011330 | 2.7 | |||
0 | mircera SUBCUTANEOUS INJECTION 100 MCG 1 Bottle | 701339 | 543014132 | 889.95 | |||
0 | mircera SUBCUTANEOUS INJECTION 50 MCG 1 | 701340 | 543014130 | 444.95 | |||
0 | MIRENA(R) Intrauterine Device 20 mcg / 24 h ! | 701341 | 547014002 | 469.85 | |||
0 | MIXAVIT(R) ORAL SYRUP 00 | 701342 | 548012285 | 9.95 |
MINIMS PHENYLEPHRINE(R) EYE DROPS 2.5%
3
MINIMS SODIUM CHLORIDE( R) EYE DROPS 0.9%
1.23
MINIMS TROPICAMIDE(R) EYE DROPS 0.5%
3
MINIMS TROPICAMIDE(R) EYE DROPS 1%
3
MINIRIN(R) ORAL TABLET 60 mcg ( Melt ) 30 ????
3.89
MINITEN(R) ORAL TABLET 25 mg
0.68
MINITEN(R) ORAL TABLET 50 mg
1.14
MINOCIN(R) ORAL CAPSUL 100 mg
2.7
mircera SUBCUTANEOUS INJECTION 100 MCG 1 Bottle
889.95
mircera SUBCUTANEOUS INJECTION 50 MCG 1
444.95
MIRENA(R) Intrauterine Device 20 mcg / 24 h !
469.85
MIXAVIT(R) ORAL SYRUP 00
9.95
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