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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DOABETIC(R) ORAL TABLET 5 mg | 700637 | 547061620 | 0.62 | |||
0 | DOABETIC(R) ORAL TABLET 50 mg | 700638 | 0.69 | ||||
0 | DOBUTAMINE HCL(R) Intra-Venus INFUSION 500 mg / | 700639 | 544094605 | 31.55 | |||
250 ml D5W 5%premix Injection | |||||||
0 | DOBUTAMINE HCL(R) Intra-Venus VIAL 250 mg | 700640 | 544094600 | 31.55 | |||
0 | DOGMATIL FORT(R) ORAL TABLET 200 mg 12 Box | 700641 | 545031385 | 1.88 | |||
0 | DOGMATIL(R) ORAL TABLET 50 mg 30 Tab | 700642 | 545031531 | 0.71 | |||
0 | DOLGIT(R) TOPICAL CREAM 50 mg/g | 700643 | 12.25 | ||||
0 | DOLOMOL(R) CHEWABLE SUSPENSION 120 mg/5ml | 700644 | 0.39 | ||||
0 | DOLOMOL(R) ORAL DROPS 100 mg/ml | 700645 | 545022110 | 3.15 | |||
0 | DOLOMOL(R) ORAL TABLET 500 mg | 700646 | 545021100 | 0.05 | |||
0 | DOLOMOL(R) RECTAL SUPPOSITORY 120 mg | 700647 | 545023115 | 0.39 |
DOABETIC(R) ORAL TABLET 5 mg
0.62
DOABETIC(R) ORAL TABLET 50 mg
0.69
DOBUTAMINE HCL(R) Intra-Venus INFUSION 500 mg /
31.55
250 ml D5W 5%premix Injection
DOBUTAMINE HCL(R) Intra-Venus VIAL 250 mg
31.55
DOGMATIL FORT(R) ORAL TABLET 200 mg 12 Box
1.88
DOGMATIL(R) ORAL TABLET 50 mg 30 Tab
0.71
DOLGIT(R) TOPICAL CREAM 50 mg/g
12.25
DOLOMOL(R) CHEWABLE SUSPENSION 120 mg/5ml
0.39
DOLOMOL(R) ORAL DROPS 100 mg/ml
3.15
DOLOMOL(R) ORAL TABLET 500 mg
0.05
DOLOMOL(R) RECTAL SUPPOSITORY 120 mg
0.39
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