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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DIGELS(R) ORAL TABLET mg | 700614 | 0.13 | ||||
0 | DIGIBIND Intra-Venus INJECTION 40 mg | 700615 | 551054365 | 1.48 | |||
0 | DIKACINE(R) Intra-Venus AMPOULE 75 mg | 700616 | 15.38 | ||||
0 | DILZEM RETARD(R) ORAL TABLET 90 mg | 700617 | 544031110 | 1.05 | |||
0 | DILZEM(R) ORAL TABLET 60 mg scored 30 Tab | 700618 | 544031110 | 0.66 | |||
0 | DINTOINA(R) ORAL TABLET 100 mg | 700619 | 0.15 | ||||
0 | DIOVAN(R) ORAL TABLET 80 mg Box | 700620 | 544101750 | 2.71 | |||
0 | DIOVENOR(R) ORAL TABLET 150 mg | 700621 | 0.66 | ||||
0 | DIPRIVAN(R) Intra-Venus VIAL | 700622 | 68.35 | ||||
0 | DIPROFOS(R) INJECTION 2 ml | 700623 | 16.9 | ||||
0 | DIPROLENE TOPICAL OINTMENT 0.05 % Tube | 700624 | 550063758 | 21 | |||
0 | DIPROLENE(R) TOPICAL CREAM 0.05% | 700625 | 550063759 | 21 |
DIGELS(R) ORAL TABLET mg
0.13
DIGIBIND Intra-Venus INJECTION 40 mg
1.48
DIKACINE(R) Intra-Venus AMPOULE 75 mg
15.38
DILZEM RETARD(R) ORAL TABLET 90 mg
1.05
DILZEM(R) ORAL TABLET 60 mg scored 30 Tab
0.66
DINTOINA(R) ORAL TABLET 100 mg
0.15
DIOVAN(R) ORAL TABLET 80 mg Box
2.71
DIOVENOR(R) ORAL TABLET 150 mg
0.66
DIPRIVAN(R) Intra-Venus VIAL
68.35
DIPROFOS(R) INJECTION 2 ml
16.9
DIPROLENE TOPICAL OINTMENT 0.05 % Tube
21
DIPROLENE(R) TOPICAL CREAM 0.05%
21
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