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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MAALOX(R) ORAL TABLET 400 mg | 701238 | 0.24 | ||||
0 | MABTHERA Intra-Venus VIAL 150 MG 1 | 701239 | 551081846 | 1,469.05 | |||
0 | MABTHERA Intra-Venus VIAL 500 MG/50 ML 1 | 701240 | 551081847 | 7,106.80 | |||
0 | MADECASSOL N-HC(R) TOPICAL OINTMENT 1% | 701241 | 7.3 | ||||
0 | MADECASSOL(R) Intra-Venus AMPOULE 20 mg/ml | 701242 | 0.78 | ||||
0 | MADECASSOL(R) TOPICAL OINTMENT 1% | 701243 | 6.2 | ||||
0 | MADECASSOL(R) TOPICAL POWDER 2% | 701244 | 4.85 | ||||
0 | MADOPAR(R) ORAL TABLET 250 mg 100 Box | 701245 | 545071965 | 2.09 | |||
0 | MAFEPAIN(R) ORAL TABLET 500 mg | 701246 | 0.45 | ||||
0 | MAGALOX(R) CHEWABLE TABLET mg | 701247 | 0.3 | ||||
0 | MAGNACEF(R) CHEWABLE SUSPENSION 100 mg/5ml | 701248 | 36.6 | ||||
0 | MAGNACEF(R) ORAL CAPSUL 400 mg | 701249 | 11.26 |
MAALOX(R) ORAL TABLET 400 mg
0.24
MABTHERA Intra-Venus VIAL 150 MG 1
1,469.05
MABTHERA Intra-Venus VIAL 500 MG/50 ML 1
7,106.80
MADECASSOL N-HC(R) TOPICAL OINTMENT 1%
7.3
MADECASSOL(R) Intra-Venus AMPOULE 20 mg/ml
0.78
MADECASSOL(R) TOPICAL OINTMENT 1%
6.2
MADECASSOL(R) TOPICAL POWDER 2%
4.85
MADOPAR(R) ORAL TABLET 250 mg 100 Box
2.09
MAFEPAIN(R) ORAL TABLET 500 mg
0.45
MAGALOX(R) CHEWABLE TABLET mg
0.3
MAGNACEF(R) CHEWABLE SUSPENSION 100 mg/5ml
36.6
MAGNACEF(R) ORAL CAPSUL 400 mg
11.26
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