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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LATYCIN(R) EYE/EAR OINTMENT 1% | 701161 | 550013060 | 2.6 | |||
0 | LAXOCODYL(R) ORAL TABLET 5 mg 200 Box | 701162 | 546061515 | 0.15 | |||
0 | LAXOCODYL(R) RECTAL SUPPOSITORY 10 mg 10 Box | 701163 | 546063510 | 0.52 | |||
0 | LAXOCODYL(R) RECTAL SUPPOSITORY 5 MG 30 Box | 701164 | 546065562 | 0.31 | |||
0 | LAXOCYDYL RECTAL SUPPOSITORY 10 mg | 701165 | 0.52 | ||||
0 | LAXOLYNE(R) RECTAL SUPPOSITORY 900 mg 10 Box | 701166 | 546065550 | 0.27 | |||
0 | LEDCLAIR Intra-Venus INJECTION 200 mg/ml Ampule | 701167 | 551054370 | 2.51 | |||
0 | LEFOX Intra-Venus INFUSION 500 mg ( 5 mg / ml ) 1 | 701168 | 540011324 | 88 | |||
0 | LEFOX COATED ORAL TABLET 750 MG 1 Tab | 701169 | 540011331 | 14.39 | |||
0 | LEPONEX(R) ORAL TABLET 100 mg 50 Box | 701170 | 545031539 | 3.12 | |||
0 | LEPONEX(R) ORAL TABLET 25 mg 50 Box | 701171 | 545031538 | 1.01 | |||
0 | LERGICOL(R) ORAL TABLET 4 mg | 701172 | 549041450 | 0.09 |
LATYCIN(R) EYE/EAR OINTMENT 1%
2.6
LAXOCODYL(R) ORAL TABLET 5 mg 200 Box
0.15
LAXOCODYL(R) RECTAL SUPPOSITORY 10 mg 10 Box
0.52
LAXOCODYL(R) RECTAL SUPPOSITORY 5 MG 30 Box
0.31
LAXOCYDYL RECTAL SUPPOSITORY 10 mg
0.52
LAXOLYNE(R) RECTAL SUPPOSITORY 900 mg 10 Box
0.27
LEDCLAIR Intra-Venus INJECTION 200 mg/ml Ampule
2.51
LEFOX Intra-Venus INFUSION 500 mg ( 5 mg / ml ) 1
88
LEFOX COATED ORAL TABLET 750 MG 1 Tab
14.39
LEPONEX(R) ORAL TABLET 100 mg 50 Box
3.12
LEPONEX(R) ORAL TABLET 25 mg 50 Box
1.01
LERGICOL(R) ORAL TABLET 4 mg
0.09
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