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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | GANFORT EYE DROPS 0.03 % + 0.5 % 1 | 700897 | 550014169 | 81.9 | |||
0 | GARAMYCIN(R) EYE/EAR DROPS 0.3% | 700898 | 550013030 | 3.4 | |||
0 | GARAMYCIN(R) TOPICAL CREAM 0.1% | 700899 | 3.85 | ||||
0 | GARAMYCIN(R) TOPICAL OINTMENT 0.1% | 700900 | 3.85 | ||||
0 | GARASONE(R) EYE/EAR DROPS 0.3+0.1% 5 Box | 700901 | 550028530 | 19.85 | |||
0 | GASTROGRAFIN(R) ORAL SOLUTION 100 ML Bottle | 700902 | 551230715 | 52.25 | |||
0 | GASTROZOLE(R) ORAL TABLET 20 mg | 700903 | 4.63 | ||||
0 | GEMZAR(R) Intra-Venus VIAL 200 mg/5ml | 700904 | 541024145 | 190.05 | |||
0 | GENTACIN EYE/EAR DROPS 0.3% Drop | 700905 | 550013030 | 12 | |||
0 | GENTACIN OPHTHALMIC OINTMENT 0.3% Ointment | 700906 | 550013035 | 8.1 | |||
0 | GENTAM(R) Intra-Venus AMPOULE 20 mg/2ml Vial | 700907 | 540014395 | 5.22 | |||
0 | GENTAM(R) Intra-Venus AMPOULE 80 mg/2ml Vial | 700908 | 540014390 | 13.54 |
GANFORT EYE DROPS 0.03 % + 0.5 % 1
81.9
GARAMYCIN(R) EYE/EAR DROPS 0.3%
3.4
GARAMYCIN(R) TOPICAL CREAM 0.1%
3.85
GARAMYCIN(R) TOPICAL OINTMENT 0.1%
3.85
GARASONE(R) EYE/EAR DROPS 0.3+0.1% 5 Box
19.85
GASTROGRAFIN(R) ORAL SOLUTION 100 ML Bottle
52.25
GASTROZOLE(R) ORAL TABLET 20 mg
4.63
GEMZAR(R) Intra-Venus VIAL 200 mg/5ml
190.05
GENTACIN EYE/EAR DROPS 0.3% Drop
12
GENTACIN OPHTHALMIC OINTMENT 0.3% Ointment
8.1
GENTAM(R) Intra-Venus AMPOULE 20 mg/2ml Vial
5.22
GENTAM(R) Intra-Venus AMPOULE 80 mg/2ml Vial
13.54
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