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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DAKTARIN(R) TOPICAL OINTMENT 2% | 700527 | 550063730 | 21.45 | |||
0 | DAKTARIN(R) TOPICAL POWDER 2% | 700528 | 15.1 | ||||
0 | DALACIN C(R) Intra-Venus Injection 300 mg/2ml 1 Ampule | 700529 | 540014380 | 17.7 | |||
0 | DANOL(R) ORAL CAPSUL 100 mg 100 Capsule | 700530 | 547011170 | 2.31 | |||
0 | Darunavir ORAL TABLET 300mg | 700531 | 40051753 | 15.71 | |||
0 | Darunavir ORAL TABLET 400mg | 700532 | 540051755 | 15.71 | |||
0 | Darunavir ORAL TABLET 600mg | 700533 | 40051755 | 15.71 | |||
0 | DBL ACYCLOVIR(R) Intra-Venus VIAL 250 mg/10ml Vial | 700534 | 540054770 | 42.47 | |||
0 | DBL ACYCLOVIR(R) Intra-Venus VIAL 500 mg/20ml | 700535 | 540054760 | 83.56 | |||
0 | DBL CYTARABINE(R) Intra-Venus VIAL 20mg/ml | 700536 | 541024142 | 16.15 | |||
0 | DECADRON NEO(R) Intra-Venus INJECTION 4 mg/2ml | 700537 | 5.4 | ||||
0 | DECADRON NEO(R) TOPICAL CREAM 0.1% | 700538 | 10.25 |
DAKTARIN(R) TOPICAL OINTMENT 2%
21.45
DAKTARIN(R) TOPICAL POWDER 2%
15.1
DALACIN C(R) Intra-Venus Injection 300 mg/2ml 1 Ampule
17.7
DANOL(R) ORAL CAPSUL 100 mg 100 Capsule
2.31
Darunavir ORAL TABLET 300mg
15.71
Darunavir ORAL TABLET 400mg
15.71
Darunavir ORAL TABLET 600mg
15.71
DBL ACYCLOVIR(R) Intra-Venus VIAL 250 mg/10ml Vial
42.47
DBL ACYCLOVIR(R) Intra-Venus VIAL 500 mg/20ml
83.56
DBL CYTARABINE(R) Intra-Venus VIAL 20mg/ml
16.15
DECADRON NEO(R) Intra-Venus INJECTION 4 mg/2ml
5.4
DECADRON NEO(R) TOPICAL CREAM 0.1%
10.25
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