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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ELYZOL(R) RECTAL SUPPOSITORY 500 mg | 700697 | 1.99 | ||||
0 | ELYZOL(R) TOPICAL CREAM 1% | 700698 | 24.7 | ||||
0 | ELYZOL(R) VAGINAL SUPPOSITORY 500 mg | 700699 | 2.05 | ||||
0 | EMBREL SC INJECTION 50 MG Solutions | 700700 | 546081707 | 1,315.80 | |||
0 | E-MOX(R) CHEWABLE SUSPENSION 125 mg/5ml | 700701 | 11.3 | ||||
0 | ENAPRIL(R) ORAL TABLET 10 mg 30 Tab | 700702 | 544101746 | 1.48 | |||
0 | ENDOXAN(R) Intra-Venus VIAL 200 mg | 700703 | 541011030 | 11.19 | |||
0 | ENDOXAN(R) Intra-Venus VIAL 500mg/vial | 700704 | 541014040 | 29.45 | |||
0 | ENDOXAN(R) ORAL TABLET 50 mg 50 ???? | 700705 | 541011060 | 0.81 | |||
0 | ENGERIX B(R) INJECTION | 700706 | 44.7 | ||||
0 | DIGELS(R) ORAL CAPSUL 200 mg | 700612 | 0.22 | ||||
0 | DIGELS(R) ORAL CAPSUL 50 mg | 700613 | 0.22 |
ELYZOL(R) RECTAL SUPPOSITORY 500 mg
1.99
ELYZOL(R) TOPICAL CREAM 1%
24.7
ELYZOL(R) VAGINAL SUPPOSITORY 500 mg
2.05
EMBREL SC INJECTION 50 MG Solutions
1,315.80
E-MOX(R) CHEWABLE SUSPENSION 125 mg/5ml
11.3
ENAPRIL(R) ORAL TABLET 10 mg 30 Tab
1.48
ENDOXAN(R) Intra-Venus VIAL 200 mg
11.19
ENDOXAN(R) Intra-Venus VIAL 500mg/vial
29.45
ENDOXAN(R) ORAL TABLET 50 mg 50 ????
0.81
ENGERIX B(R) INJECTION
44.7
DIGELS(R) ORAL CAPSUL 200 mg
0.22
DIGELS(R) ORAL CAPSUL 50 mg
0.22
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