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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MAXIPIME(R) Intra-Venus VIAL 2 gm | 701261 | 540014255 | 63.75 | |||
0 | MAXITROL(R) EYE DROPS 0.35 % + 6000 unit + 0.1% 5 | 701262 | 550013071 | 16.3 | |||
Bottle | |||||||
0 | MAXITROL(R) EYE OINTMENT 0.35 % + 6000 unit + 0.1% | 701263 | 550013072 | 11.3 | |||
4 Tube | |||||||
0 | MEASLES VACCINE LIVE ATTENUATED Intra-muscular INJECTION 0.5 ML SINGLE DOSE Box | 701264 | 542014203 | 44.95 | |||
0 | MEDEMYCIN(R) ORAL CAPSUL 200 mg | 701265 | 1.58 | ||||
0 | MEDROL(R) ORAL TABLET 4 mg | 701266 | 0.65 | ||||
0 | MEFOXIN(R) Intra-Venus VIAL 100 mg/ml | 701267 | 30.05 | ||||
0 | MEFOXIN(R) Intra-Venus VIAL 2 gm | 701268 | 30.05 | ||||
0 | LEUKERAN(R) ORAL TABLET 2 mg 25 Box | 701175 | 541011010 | 4.34 | |||
0 | LEVOPHED(R) Intra-Venus AMPOULE 1-2 mg/ml (2-4 ml) | 701176 | 544094650 | 96.4 |
MAXIPIME(R) Intra-Venus VIAL 2 gm
63.75
MAXITROL(R) EYE DROPS 0.35 % + 6000 unit + 0.1% 5
16.3
Bottle
MAXITROL(R) EYE OINTMENT 0.35 % + 6000 unit + 0.1%
11.3
4 Tube
MEASLES VACCINE LIVE ATTENUATED Intra-muscular INJECTION 0.5 ML SINGLE DOSE Box
44.95
MEDEMYCIN(R) ORAL CAPSUL 200 mg
1.58
MEDROL(R) ORAL TABLET 4 mg
0.65
MEFOXIN(R) Intra-Venus VIAL 100 mg/ml
30.05
MEFOXIN(R) Intra-Venus VIAL 2 gm
30.05
LEUKERAN(R) ORAL TABLET 2 mg 25 Box
4.34
LEVOPHED(R) Intra-Venus AMPOULE 1-2 mg/ml (2-4 ml)
96.4
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