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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DICLOGESIC(R) RECTAL SUPPOSITORY 12.5 mg | 700598 | 0.46 | ||||
0 | DICLOGESIC(R) RECTAL SUPPOSITORY 50 mg | 700599 | 0.64 | ||||
0 | DICLOGESIC(R) TOPICAL GEL 1% | 700600 | 7.8 | ||||
0 | DICLOMAX(R) ORAL TABLET 25 mg | 700601 | 545021250 | 0.61 | |||
0 | DICLOMAX(R) ORAL TABLET 50 mg | 700602 | 545021250 | 1.17 | |||
0 | DICLOMAX(R) RECTAL SUPPOSITORY 100 mg | 700603 | 2.85 | ||||
0 | DICLOMAX(R) RECTAL SUPPOSITORY 12.5 mg | 700604 | 0.77 | ||||
0 | DICLOMAX(R) RECTAL SUPPOSITORY 50 mg | 700605 | 1.56 | ||||
0 | DICYNONE(R) Intra-Venus AMPOULE 250 mg/2ml | 700606 | 4.42 | ||||
0 | DICYNONE(R) ORAL TABLET 250 mg | 700607 | 0.33 | ||||
0 | DIFFERIN(R) TOPICAL GEL 0.1 % 30 Tube | 700608 | 547011093 | 25.8 | |||
0 | DIFLUCAN(R) Intra-Venus VIAL 2 mg/ml | 700609 | 540021520 | 57.95 |
DICLOGESIC(R) RECTAL SUPPOSITORY 12.5 mg
0.46
DICLOGESIC(R) RECTAL SUPPOSITORY 50 mg
0.64
DICLOGESIC(R) TOPICAL GEL 1%
7.8
DICLOMAX(R) ORAL TABLET 25 mg
0.61
DICLOMAX(R) ORAL TABLET 50 mg
1.17
DICLOMAX(R) RECTAL SUPPOSITORY 100 mg
2.85
DICLOMAX(R) RECTAL SUPPOSITORY 12.5 mg
0.77
DICLOMAX(R) RECTAL SUPPOSITORY 50 mg
1.56
DICYNONE(R) Intra-Venus AMPOULE 250 mg/2ml
4.42
DICYNONE(R) ORAL TABLET 250 mg
0.33
DIFFERIN(R) TOPICAL GEL 0.1 % 30 Tube
25.8
DIFLUCAN(R) Intra-Venus VIAL 2 mg/ml
57.95
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